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BACKFILL EXCAVATION CERTIFICATE <br /> Project Location 800 West Church Street, Stockton, California <br /> Owner Newark Sierra Paperboard Corporation Phone No. _ (209)466-70A8 <br /> Contractor OGISO Environmental Phone No. (510) 451-5771 License No. 706242 A-HAZ <br /> INDICATE METHOD OF BACKFILL QUALITY ASSURANCE <br /> X 1. Submission of Soil Engineer's Compaction Report within 30 days of project completion, or <br /> 2. Submission of verification, e.g., load ticket, within 30 days of project completion that one of the following materials was <br /> placed in the excavation in 12" lifts: <br /> A. Pea gravel—smooth, rounded material not more than one-half(1/2) inch in diameter <br /> B. Crushed rock--self-compacting material not more than three-quarters (3/4) inch in cross sectional <br /> measurement. (Use of crushed rock will not be permitted for backfill if contact will be made between the <br /> backfill material and tanks/pipes trade of poly resin glass or similar materials.) <br /> DECLARATION <br /> I hereby certify that a Soil Engineer's Compaction Report will be submitted within 30 days of pproject completion, or submission of <br /> verification that the select material described above will be placed at a minimum of five (5) cubic yards per 1000 gallon tank <br /> displacement and that the entire excavation will be backfilled and compacted to insure compliance with the Uniform Building Code <br /> Appendix Chapter 70. <br /> * Gary D. Haeck, Ph.D. , R.G. <br /> Name rtn[ <br /> * Project Geologist <br /> -afgnature <br /> * Shall be the responsible managing employee on the license or authorized agent. <br />