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FC7LORADO LINING <br />INT ERNATIONAL <br />Date: 8/18/11 <br />Project: Hukill Millsite <br />Owner: Venture Resources <br />Engineer: <br />Contractor: <br />Installation Supervisor: Cesar Gonzalez <br />Material: GCL, 60 mil Text. , Geo Composite <br />Is surface acceptable for placement of geomembranes? <br />Comments G .S r ,g �� I 1 <br />5 (4 6 - Akoe-- <br />Date: 1 2 (( <br />Sub grade Acceptance <br />Yes 7 No <br />Accepted By Representative of Owner /Owner (signature) / • / / `t // "Y <br />V �e 2e <br />1 certify that I am a representative with the authority to provide this acceptance a recd ' e that if this is not a true statement that 1 will be held <br />personally responsible for the integrity of the inspection. <br />Print Name/Title: <br />Company: <br />Witnessed By Representative of CLI (signature) <br />Print Name /Title - yl IL__� / f 4 L _ E Z_ , 5 <br />V- 1'1'( o �' <br />This document only applies to the acceptability of the surface conditions for the installation <br />of the geosynthetic products. Colorado Lining International (CLI) does not accept <br />responsibility for anchor trench elevation or design, elevation points for construction, sub - <br />grade compaction, moisture content of neither the sub -grade nor the surface maintenance <br />during deployment. The structural integrity of the sub -grade and maintenance of these <br />conditions are the responsibility of the owner, engineer or contractor. Furthermore, any <br />incidental damage to the liner or seams (e.g. groundwater, gases, cover soil placement and <br />sub -grade movement) during or after the installation is not covered by any warranty <br />expressed or implied and the design, engineering and construction are the responsibility of <br />the owner, engineer and /or contractor. <br />CORPORATE OFFICE <br />1062 Singing Hills Road Parker, Colorado 80138 800 524 8672 303 841 2022 Fax 303 841 5780 www.coloradolining.com <br />