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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 />I, the Undersigned, the duly authorized representative <br />of <br />do hereby accept the area of soil surface bounded by <br />Secondary r S-582 +hriuyh S - 6Z1 <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 />0 -4/0/4 N ME SIGNAT E <br />ame0 <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 />/941, e-d- <br />/ 20 /v <br />U DATE <br />I, the Undersigned, the duly authorized representative of the CQA Engineer do hereby accept the <br />area of soil surface bounded by <br />Jeremy 1_� <br />NAME <br />SI <br />Reviewed by: <br />31)14 <br />knee Litt er /Soils Lisped S•- f-10 <br />TITLE DATE <br />Date: %I'll ) <br />