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2009-12-21_REVISION - M1980244 (44)
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2009-12-21_REVISION - M1980244 (44)
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Entry Properties
Last modified
6/15/2021 5:52:23 PM
Creation date
12/30/2009 8:53:52 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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CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />• <br />GEOSYNTHEETIC INSTALLER <br />COMPANY: ;?Cy1 /- Tre <br />ADDRESS: 4 ,� ' � dvNc- hc-cl 0.^ <br />d A:t�d% e, TX - IS`CX <br />1, the Undersigned, the duly authorized representative of <br />PROJECT <br />LOCATION �; j,� C <br />PROJECT LC 1 ✓ 1 911,,4 -S E /V l %tie'- COAICo <br />OWNER CC <br />O f� <br />do hereby accept the area of soil surface bounded by OA-xd5 C 7 76 --7 7%,w C '78.S <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 <br />up"c- <br />TURF <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY CQA ENGINEER <br />NAiJE <br />• <br />SIGNA <br />TITLE <br />9- 9--& <br />ATE <br />I - et -d <br />DATE <br />Reviewed by: te: <br />Approved by Date: <br />File No: <br />GOLDERASSOCLkMS <br />
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