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• <br />¶'M E 'LASS <br />NAME <br />CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />BASED UPON VISUAL OBSERVATION ONLY <br />GEOSYNTHETIC INSTALLER PROJECT <br />COMPANY: Lonestar Lining Co. <br />ADDRESS: 4520 Half Crown Drive <br />Dallas, TX 75237 <br />I, the Undersigned, the duly authorized representative <br />of /0,)(4, C <br />do hereby accept the area of soil surface bounded by <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. �, n �� j� , . ) <br />A►kLS ) `— q 6 1 , '� �' gtz 4 e,aF1 1-'K ! j W <br />ofel.A <br />ai/ORiesizz/ad*_2 N E SIGNATURE <br />I, the Undersigned, the duly authorized representative of the CQA Engineer do hereby accept the <br />area of soil surface bounded by <br />SIGNATURE TITLE <br />Reviewed by: <br />5aA <br />1 /1/ 7 Tl"iCLE <br />®C. <br />amec <br />LOCATION: Cresson Project <br />PROJECT: CC &V CQA Phase 5 <br />OWNER: Cripple Creek and Victor Gold <br />Date: S tbit) <br />�S 7/ v <br />DATE <br />111 a <br />DATE <br />