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2004-10-18_REVISION - M1980244 (23)
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2004-10-18_REVISION - M1980244 (23)
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Entry Properties
Last modified
6/15/2021 5:49:52 PM
Creation date
11/21/2007 5:44:35 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980244
IBM Index Class Name
Revision
Doc Date
10/18/2004
Doc Name
Ph. IVc VOL.II Subgrade Accept. Forms
From
Golder Associates Inc.
To
DMG
Type & Sequence
AM8
Media Type
D
Archive
No
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• CERTIFICATE OF ACGE <br />GEOSYNTHETIC WSTALLER <br />COMPANY: ~p/,/_ ,r/FX Certi-rr lnc: <br />ADDRESS: . 3ae~ ~ ;~, r^/~crc f~wc.C 4~r-. <br />~..-~..d F:t,.-.~, iz ~Sxsl <br />PTANCE OF SOIL SURFACE <br />PROJECT <br />LOCATION J;IA.~E T~7 <br />PROJECT CC ~ / i7h~AJE1/L:~E'i~ C[rA~Cc <br />OWNER CC ~ <br />I, the Undersigned, the duly authorized representative of ~.~+ ~'(tx <br />do hereby accept the area of soil surFace bounded by ~ ~ ~ - •} B'e} <br />and shall be responsible for maintaining its integrity and suitability in accordance with the project <br />specifications from this date to the completion of the installation. <br />NAME SIGNATURE .TITLE DATE <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY COP. ENGINEER <br />~-~i-o <br />DATE <br />• Reviewed b ~ ~ 02 - o~ <br />Approved by: Date: <br />File No: <br />COLDER ASSOCIATES <br />
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