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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 />• CERTIFICATE OF ACCEPTANCE OF SO{L SURFACE <br />GEOSYISTHETIC INSTALLER <br />COMPANY: {~O[t/-r/~'X ~~'r 1nC <br />ADDRESS: <br />(w.^en ft A.rc, l.p ?~.JC ~S~sl <br /> <br />PROJECT <br />LOCATION ,~fjyfE ~C <br />PROJECT `C~ ~NAJE iv L~we~ CQ/1/(p <br />OWNER CC t <br />I, the Undersigned, the duly authorized representative of P !y r~t a' <br />T <br />do hereby accept the area of soil surface bounded by Co.:rtQa1 ~ ~rtna~s c'3 ~ -fa <br />_ ,~., <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 />HK/CtaSc..: (i- <br />NAME IC <br />TURE <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY CQ.A ENGINEER <br />Y £X V/Joie 5 ~' c <br />TITLE DATE <br />C~ r~ S_Z <br />TITLE DATE <br />i• <br />:a,.. <br />Reviewed by: ate:- `~^~-~'~ <br />Approved by: Data: <br />Fife Nb: <br />COLDER ASSOCIATES <br />1 <br />
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