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• <br />COMPANY: <br />ADDRESS: <br />amed' <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 />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 are of soil surface bounded �y <br />o <br />P nt ,IS p- !.(3 S" <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 />NA 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 />NAME IG A URE <br />Reviewed by: <br />Yt4 1_ iIL/S' <br />‘ DN <br />Lonestar Lining Co. <br />�j ZZ 2vvo <br />TLE DATE <br />0? R2 <br />p <br />TITLE DATE <br />Date: 9 IZZVIO <br />