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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 area of soil surfa ounded by <br />fqn ei5 17 r3 Pi/ ' 5 2/5' <br />ame&' <br />• egoiziAiriado, <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 />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 />egia Zo /o <br />R <br />vri I <br />SIGNAT E TE <br />1, the Undersigned, the duly authorized representative of the CQA Engineer do hereby accept the <br />area of soil surface bounded by <br />en <br />NAME <br />�l e Cy <br />SIGNATUR <br />CAP <br />TITLE <br />Reviewed by: .311* Date: (pi 4110 <br />o6‘04--/& <br />DATE <br />