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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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<br /> <br />CER I (FICA I E OF ACCE <br />GEOSYNTH~ fIC INSTAL ~ ~R <br />COMPANY: .~~/i~_ ~;F-X L-C'h~- l~nc <br />ADDRESS: acep k, d"~C.^= hc..1~{ F~^. <br />r.-~nd ~ ~..-gyp., i~ ~S~~I <br />I ANCE OF SOf L SURFACE <br />PROJCT <br />LOCATION ,~.^A~ 6 TF' <br />PROJECT ~ `C ~ i7f/AJC= i/G%n.-cn CGFr~Co <br />OWNER CC i c~ <br />I, the Undersigned, fhe duly authorized representative of ' ~/y~¢,C- <br />do hereby accepf the area of soil surface bounded by tli4,,,efs - c_ l 03 - ~ ¢.~ c-- ~~D. t`~ <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 S ATURE TITLE DATE <br />CERTIFfCATE OF ACCEPTANCE RECEIVED BY CQA ENGINEER <br />NAME SIGNATURE TITLE DATE <br />• <br />n~,.+' <br />R2vleWedby: c. ~'`>~2- t)~ <br />Approved by: Date: <br />File No: <br />GOLJ~9SSOCLATBS <br />
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