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• <br />• <br />COMPANY: <br />ADDRESS: <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 urface bounded by P-- <br />cri-zf ,/ 1 — 4 l 2 ru <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 />A c2k4 <br />I, the Undersigned, the duly authorized representative of the CQA Engineer do hereby accept the <br />area of soil surface bounded by <br />e‘ e Gly <br />NAME / <br />CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />BASED UPON VISUAL OBSERVATION ONLY <br />PROJECT <br />LOCATION: Cresson Project <br />PROJECT: CC &V CQA Phase 5 <br />OWNER: Cripple Creek and Victor Gold <br />SIGNATUR TITL' E ) <br />Reviewed by: SD V\ <br />Lonestar Lining Co. <br />amee <br />C CPA <br />TITLE <br />Date: C I 2111 b <br />l <br />DATE <br />DATE <br />