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• <br />• <br />COMPANY: <br />ADDRESS: <br />CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />BASED UPON VISUAL OBSERVATION ONLY <br />GEOSYNTHETIC INSTALLER <br />Lonestar Lining Co. <br />4520 Half Crown Drive <br />Dallas, TX 75237 <br />1, the Undersigned, the duly authorized representative <br />of <br />do hereby accept the a of soil surface bounded by <br />ah eIs p- a - <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 />A E SIGNATU E <br />PROJECT <br />LOCATION: Cresson Project <br />PROJECT: CC &V CQA Phase 5 <br />OWNER: Cripple Creek and Victor Gold <br />Lonestar Lining Co. <br />YI4 • P-gv <br />ame0 <br />I, the Undersigned, the duly authorized representative of the CQA Engineer do hereby accept the <br />area of soil surface bounded by <br />i? 10, <br />NAME SIG TURE <br />Reviewed by: <br />TITLE <br />S i71 Date: g 110110 <br />o 9 /ebr <br />DATE <br />