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• <br />• <br />CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />BASED UPON VISUAL OBSERVATION ONLY <br />GEOSYNTHETIC INSTALLER <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 <br />do hereby accept the area of soil surface bounded by <br />3 7 <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 />• ME SIGN E "TI LE <br />I, the Undersigned, the duly authorized representative of the CQA Engineer do hereby accept the <br />area of soil surface bounded by <br />4C'Ii H <br />/ l <br />NAME <br />SI ATURE <br />Lonestar Lining Co. <br />PROJECT <br />LOCATION: Cresson Project <br />PROJECT: CC &V CQA Phase 5 <br />OWNER: Cripple Creek and Victor Gold <br />)72. <br />DATE <br />7/1/0 <br />TITLE 0 DATE <br />Reviewed by: SI* Date: 1-120/10 <br />