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• CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />BASED UPON VISUAL OBSERVATION ONLY <br />• <br />COMPANY: <br />ADDRESS: <br />GEOSYNTHETIC INSTALLER <br />Lonestar Lining Co. <br />4520 Half Crown Drive <br />Dallas, TX 75237 <br />I, the Undersigned, the duly authorized representative <br />of <br />do hereby accept the area of soil surface bounded by <br />owlPf - 154 44311 5 ---/tot77 <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 />NAM SIGNATU <br />I, the Undersigned, the duly authorized representative of the CQA Engineer do hereby accept the <br />area of soil surface bounded by <br />Reviewed by: <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 />I LE r <br />C cP,4 <br />TITLE <br />Date: <br />ta lA p o <br />2� <br />ATE <br />D6 - to <br />DATE <br />