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6, TwMe <br />Geomembrane Acceptance Notification <br />Project CC &V CQA Project No. 84201125EO <br />Activity LOB GCL Installation GCL Date <br />The following area/activity is complete and conforms to the Technical Specifications: <br />After inspection of the Bentomat ST geomembrane, it was found to be acre table and met project s ecifications. <br />Any deficiencies found during the inspection will be repaired. — <br />Attach any additional or perlinent item /information requiring approval before final acceptance. <br />The following agree the above described area /acitvity is complete and in accordance <br />with the Technical Specifications, except as noted in the attachments. <br />Representing <br />Name <br />Signature <br />Date <br />Attachments <br />(YIN) <br />Awe,— <br />N rune <br />to 7777, <br />Description of Attachments: <br />Reviewed By: Date: <br />