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BAC_SrIlL EXCAVATION CERTIFICATE <br /> ProjectLocation 24 South Ameri ran ., Ctnrk+ ten,. rA - 95205 <br /> Owner Rosenthal Trust - Bank of Stockton Phone No. 929-1526 <br /> Contractor AGE Phone No. 4 6 7-10 0 6 License No. 6 8 0 2 2 7 <br /> INDICATE METHOD OF BACKFILL QUALITY ASSURANCE <br /> 1. Submission of Soil Engineer's Compaction Report within 30 days of project completion, or <br /> —X 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 /> XX A. Pea gravel-smooth, rounded material not more than one-half(1)2) inch in diameter <br /> and sand <br /> B. Crushed rock-self-compacting material not more than threequarters (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 made 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 dgsot of project 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 Chanter 70. <br /> * Wiulliam little <br /> Name (Print) <br /> * geolocrist <br /> * Signature- <br /> Shall � � <br /> * be the responsible managing employee on the license or authorized agent. <br />