REP14132

FINAL INSPE TION & CERTIFICATLAOF COMPLETION
This is to certify that 2C.O
on
LCr C U
PURCHASE ORDER NO. 66S9 6Sq 1 -
DATE OF INSPECTION: LOLL
—
G .
had all work under the above Purchase Order No. ready for final inspection on
�V 0 that the work was completed in accordance with the
ate
requirements of the Purchase Order with the following exceptions:
and it is recommended that, pon completion of the exceptions listed above, the
work unde this Purchas be accepted.
i
nspector (Engineer)
P roject manager)
The above exceptions were completed on:
Name: l�l' -�%�E (� — ` 6
Title:
Sheet of
MINED LAND RECLAMATION DIVISION
INACTIVE MINE RECLAMATION PROGRAM
1313 Sherman Street, Room 423
Denver, CO 80203
ttacn as i ionai pages, it required)