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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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G <br />amec <br />Earth & Environmental <br />B <br />CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />BASED UPON VISUAL OBSERVATION ONLY <br />GEOSYNTHETIC INSTALLER <br />COMPANY: Lonestar <br />ADDRESS: <br />PROJECT <br />LOCATION: Cresson Project <br />PROJECT: CM COA Phase 5 <br />OWNER: Cripple Creek and lector Gold <br />1, the Undersigned, the duly authorized representative of zbog-smg <br />do hereby accept the area of soil surface bounded by (NorthinglEasting) <br />and shall be responsible for maintaining its inliegrlty and suitability In accordance with the project <br />specUlcath ns from this date to the canpletion of the installation. <br />SIGNATURE TITLE DATE <br />1, the Undersigned, the duly authorized representative of the COA Engineer do hereby accept the area <br />of soil surface bounded by (NoflhinglEasting) <br />TITLE <br />Revhwved by: V - P1 Date: I l I T - / 6 <br />Approved by: 1 11 Vi06 Date: 01 <br />"EC Ea th and Envimmeut/a1 <br />
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