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2010-08-17_REVISION - M1980244 (7)
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2010-08-17_REVISION - M1980244 (7)
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Entry Properties
Last modified
6/15/2021 5:52:25 PM
Creation date
8/19/2010 8:12:54 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980244
IBM Index Class Name
REVISION
Doc Date
8/17/2010
Doc Name
QA Monitoring & Test Results- Phase IV B/C, Triangle Liner Cert., Append. E Subgrade Acceptance Form
From
CC&V
To
DRMS
Type & Sequence
AM9
Email Name
BMK
Media Type
D
Archive
No
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ameo <br />CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />BASED UPON VISUAL OBSERVATION ONLY <br />GEOSYNTHETIC INSTALLER PROJECT <br />COMPANY: Lonestar Lining Co. LOCATION: Cresson Project <br />ADDRESS: 4520 Half Crown Drive PROJECT: CC&V CQA Ppeee-5-P9W <br />Dallas, TX 75237 OWNER: Cripple Creek and Victor Gold ((?? <br />??.1M 11L. <br />I, the Undersigned, the duly authorized representative I-aNe E- <br />&& <br />Of do hereby accept the area of soil urta Funded by <br />and shall be responsible for maintaining its integrity and suitability in accordance with the <br />project specifications from this date to the completion of the installation. <br />??f'? ? ? ? t t0I c? <br />SIGNATURE TLE ATE <br />I, the Undersigned, the duly authorized representative of the CQA Engineer do hereby accept the <br />area of soil surface bounded by a 1 r-y t V 3 7?L C <br />NAME <br />'(1AU Q- -- CSC. 61111-Q010 <br />SIGNATURE TITLE ATE <br />Reviewed by: U Jlt?? Date: S? 11 Ib
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