2009-12-21_REVISION - M1980244 ‎(46)‎

• Permit No: M1980244
• IBM Index Class Name: REVISION
• Doc Date: 12/21/2009
• Doc Name: QA Liner Recert- App. H, Geomembrane QC Docs. and Inv.
• From: CC&V
• To: DRMS
• Type & Sequence: AM9
• Media Type: D
• Archive: No

amet� Page
Earth & Environmenta4
GEOSYNTHETIC INVENTORY CONTROL LOG
PROJECT NO: 84201125EO PROJECT TITLE:
OWNER: Cripple Creek and Victor Gold Mining Company CONTRACTOR:
LOCATION: CC&V Cresson
MATERIAL TYPE: GEOMEMBRANE GEONET GEOTEXTILE OTHER
DATE OF ARRIVAL: ���� ��� �0:►5Aw- a1J9Mn,
MATERIAL MANUFACTURER: yy OL.f �^ 1 i
PRODUCT IDENTIFICATION: _ I0D 9 IL I.-1-Dplf I�(,M64 X 1
TRUCK TYPE: �Tr Ida _rWifi(, - b1Z
1'
kL—
Of
CC&V CQA Phase 5
Ames /Lonestar
DATE OF INVENTORY
INVENTORY MONITOR
CONDITION IN TRUCK
UNLOADING METHOD
B IZ
:15A
, W
ROLL
NUMBER
BATCH CR
LOT NO-
VMMI
M E IN =
r . � U
CONF . SAMP . ANEC Earth and Envirennnatal
Y =Roll was sampled for conformance test
N =Roll was not sampled for conformance test