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2004-10-18_REVISION - M1980244 (23)
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2004-10-18_REVISION - M1980244 (23)
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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{CATE OF ACCEPTANCE OF SOIL SURFACE <br />GEOSYNTHETICINSTALLER PROJECT <br />COMPANY: ~OL~ ~F/FX Cans'}' lnc LOCATION ,D fjA fE 77 <br />ADDRESS: 7ae~ ~, .^~c.-~f.<,.r.( p,.. PROJECT `C J ,~ nt/ASE //~%Ven. CQA~Ca <br />f~:~••d p.~,r.p„TX ~S'osI OWNER CC t% <br />'>' <br />I, the Undersigned, the duly authorized representative of _ , R/y~/~k <br />do hereby accept the area of soil surface bounded by ~jfy,p%t C -/d / ~tJf-/! ~ <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 />r 1 <br />U <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY CQA ENGINEER <br />~ •-S-..v <br />DATE <br />I • <br />Reviewed by. ~ G ~-~ <br />Approved by: Date: <br />File No; <br />GOLDER ASSOCIATES <br />>~ <br />
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