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2010-11-15_REVISION - M1980244 (177)
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2010-11-15_REVISION - M1980244 (177)
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Last modified
6/15/2021 5:52:28 PM
Creation date
7/27/2011 12:43:11 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980244
IBM Index Class Name
REVISION
Doc Date
11/15/2010
Doc Name
QA Monitoring and Test Results 2010, VOL. III, Appendix G.1, OSA Primary Liner Subgrade Acceptance
From
CC&V
To
DRMS
Type & Sequence
AM9
Media Type
D
Archive
No
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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 Phase 5 <br />Dallas, TX 75237 OWNER: Cripple Creek and Victor Gold <br />1, the Undersigned, the duly authorized representative <br />o f Lonestar Lining Co. <br />do hereby accept the Area of soil surface bounded by <br />jQ`ie4 2 cie 4-4 3 S 9 <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 />C der row <br />A ME <br />SIGNA 21 41A., <br />ameC' <br />I, the Undersigned, the duly authorized representative of the CQA Engineer do hereby accept the <br />area of soil surface bounded by <br />gem Me9 0 I - 0 7 0 / C � <br />NAME S ATURE TITLE <br />Reviewed by: <br />Date: 0/1%! ID <br />DATE <br />
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