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2009-12-21_REVISION - M1980244 (36)
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2009-12-21_REVISION - M1980244 (36)
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Entry Properties
Last modified
6/15/2021 5:52:24 PM
Creation date
12/30/2009 8:52:55 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980244
IBM Index Class Name
REVISION
Doc Date
12/21/2009
Doc Name
QA Liner Recert- App. A-G, Subgrade Acceptance Forms
From
CC&V
To
DRMS
Type & Sequence
AM9
Media Type
D
Archive
No
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U <br />CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />GEOSYNTNETIC INSTALLER <br />COMPANY: p L ;c <br />ADDRESS: _ }cc� �. '��c �s f•< c t �}, <br />PROJECT <br />LOCATION <br />PROJECT LC t <br />OWNER Cc ✓ <br />E <br />I, the Undersigned, the duly authorized representative of ��n„ (;-c; e �,. P14 <br />do hereby accept the area of soil surface bounded by <br />- rjn,� kr - 7o <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 />NAME SIGNA <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY CQA ENGINEER <br />S. Y �� • �l.n. � irti urn . " <br />NAME SIGNATURE TITLE DA <br />DATE <br />Reviewed by: Date: <br />Approved by: Date: <br />File No: <br />•C:� <br />GOLDER.ASSOCLATES <br />
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