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CERTIFICATE OF ACCE <br />G°OSYNTH-IC INSTALLER <br />COM?ANY: ,~~/i%_ r,f X ~ns"fr 1nC <br />ADDRESS:, -~r~-. ~t.~~ ,!~~,-_,h~-.,c~t ~^- <br />~ 5`c I <br />Fwd ~.~,.-, p. , Tz s <br />PTANCE OF SOIL SURFACE <br />PROJECT <br />L00.4 T ION ~ ~p ~ - 7~ <br />PROJECT C 1 yi J{>lASE i/G'nlen CCv.4~Co <br />OWNER f C ' / <br />I, the Undersigned, the duly authorized reprosentafive of y(~- r~er ~,,,.,s'~ d~.t - <br />de hereby accept the area of soil surface bounded bye ~'- lid pi ~ F ~ "'7 <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 /> NAME' SIS~NATURE TITLE DA <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY COA ENGINEER <br />SIG ATURE TITLE DATE <br />Reviewed by: Dat>: <br />Approved by: Data: <br />File No: <br />GOLDER.ASSOCL4TES <br />