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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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• CERT{F{GATE OF ACCE <br />G/~EOSYNTHETIC INSTALLER <br />COMPANY: yoL~-~/Ex Cc~=.1~~ the <br />ADDRESS: 3ae~ r? d'~c: sh~..~.i Or~ <br />f.,.-~..d P.~,.-.~, Tic SCSI <br />'TANCE OF SOIL SURFACE <br />PROJECT <br />.LOCATION ,~,hy ~E ~7 <br />PROJECT `C1 / 17,t//isE lyL%NER CQAf~p <br />OWNER C~ J tj <br />I, the Undersigned, the duly authorized representative of ~~vT I2F <br />do hereby accept the area of soil surface bounded by .,e. 5 C - ~ v C-,36 <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 />• <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY COA ENGINEER C Q~ <br />~~n/C I'}7 ~ x a.v~ ~.iu,~m__'h'4,~- S- Z 2 -o <br />• <br />Reviewed by: te: s-~=/ _-d`~ <br />Approved by: Date: <br />File No: <br />GOLDER ASSOCIATES <br />
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