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iu P. 10 <br /> tsAcr:ct tLL EXCAVATION CERTIRCATE <br /> Project I.oc;�Lr� <br /> Owner <br /> CotzQac:or. Phone No. L lase No. <br /> INDICATE M=OD OF RACF�QUALITY ASSURANCE <br /> I Submission of Soil Euginc s <br /> tenon Report witfiia 30 days of prui=cotuplaioII. or <br /> �Su,bmis ioa or �c:ificadOn, e.g.. load deka, within 30 days of prof co Ietlou that one o" <br /> placed in,theeeez�vauon in 12 afcs: r dze Mowing materials was <br /> Pea graved—=oath. comdd mxr=W mc mora d=ow-Half(112) inch m diamere: <br /> 8_ :Ctughed roe;c—aeff�om{zacriag se <br /> material aoc more dean three gaarrers (3/a) inch is t=oss vtional <br /> sz (Use of Gushed mcg will noc be pe=ns ed for bacizEn if coat= will be made between <br /> :the bacirfIi l maoerml and=ks/pipes trade of Pott'tush amass or similar marc.:ials.) <br /> DECLARATION <br /> hereby ccmfy t�,Ua Soil EagJn *S Compaction Report will be submitted within 30 days of isroje compicrion, or submission of <br /> eri.-iest;on that khe seers materai dercined above will be placed at a of five (57 tabic yards per 1000 gallon taal: <br /> splaaemeezt that the cnore czeavation wfll be backfiIlcd <br /> .ppendix C� 70. and cauipacted m insttrc eomplianC-- waft the Unifot7n Euiiding Cock <br /> t <br /> met 1 <br /> e <br /> Shall be the m Tc=byc:managing cmPtoyee on ttte Ucrose or authorized ag=L <br /> II <br /> I <br /> I <br /> l <br /> I <br /> i <br /> i <br />