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• <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 area of soil surface bounded by <br />a r e) : ;30 Awl 35 <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 />■ J °-1 <br />NAME SIGNATURE <br />Jen 1 <'. Met y <br />NAME <br />S G "TURF <br />Reviewed by: i - D14 <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 />6 <br />I, the Undersigned, the duly authorized representative of the CQA Engineer do hereby accept the <br />area of soil surface bounded by <br />TITLE <br />ame0 <br />Date: L,2111110 <br />0‘,//? <br />DATE <br />