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2009-07-15_REVISION - M1980244 (31)
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2009-07-15_REVISION - M1980244 (31)
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Entry Properties
Last modified
6/15/2021 5:52:21 PM
Creation date
7/21/2009 11:12:28 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980244
IBM Index Class Name
REVISION
Doc Date
7/15/2009
Doc Name
LOB Relocate- Appendix G- Subgrade Acceptance Forms
From
CC&V
To
DRMS
Type & Sequence
AM9
Media Type
D
Archive
No
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aEarth & Environmental <br />CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />BASED UPON VISUAL OBSERVATION ONLY <br />GEOSYNTHETIC INSTALLER PROJECT <br />COMPANY: I onic-brg p LOCATION: Cresson Project <br />ADDRESS: PROJECT: CC&V CQA Phase 5 <br />OWNER: Cripple Creelk and Victor Gold <br />1, the Undersigned, the duly authorized representative of <br />do hereby accept the area of soil surface bounded by (Northing/Easting) <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 />a <br />SIGNATURE TITL DATE <br />I, th%yridersigned, the duly authorized representative of the CQA Engineer do hereby accept the area <br />of soil surface bounded by (144W i stin <br />h Reviewed by: Date: <br />Approved by: Date: <br />"EC Earth and Environmental
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