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2009-12-21_REVISION - M1980244
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2009-12-21_REVISION - M1980244
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Entry Properties
Last modified
6/15/2021 5:52:24 PM
Creation date
12/30/2009 8:54:59 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. F, Subgrade Acceptance Forms
From
CC&V
To
DRMS
Type & Sequence
AM9
Media Type
D
Archive
No
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i PLIC, <br />am ecQ <br />EaM a Environmental <br />CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />BASED UPON VISUAL OBSERVATION ONLY <br />GEOSYNTHETIC INSTALLER PROJECT <br />COMPANY: Lonestar LOCATION: Cresson Project <br />ADDRESS: PROJECT: CM COA Phase 5 <br />OWNER: Cripple Creek and Vklor Gold <br />1, the Undereigned, the duly authorized representative of L.DWIS "do, <br />do hereby accept the areaof soil surface shown in the attached sketch <br />and shall be responsible for msintsinbcg its Integrity and sultsbillty In accordance with the project <br />specifications froim this date to the completion of the installation. <br />1, the Undersigned, the duly authorized <br />of soli surface bounded by jNorthingla <br />of the CQA Engineer do hereby accept the area <br />0 <br />AMLC Hawk and &x&*mmft-mW <br />I <br />Reviewed by: __ ____ Date: U lil�l <br />Approved by: D Date: it j?T <br />
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