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'ACKFILL EXCAVATION CERTIFICATE <br />Project Location Block bounded by Lafayette, El Dorado, Center and Sonora Streets <br />Owner Redevelopment Agency of Stockton Phone No. 209-937-8320 <br />Contractor Evans Brothers Inc. Phone No. 925-443-0225 License No. 443018 <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 die following materials was <br />placed in the excavation in L' 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 <br />the backfill material and tanks/pipes made of poly ruin glass or similar materials.) <br />DECLARATION <br />I herebv certify that a Soil Engineer's Compaction Report will be submitted within 30 days of project completion, or submission of <br />verification that the select material described above will be placed at a minimum of five (5) cubic vards 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 />• Wayne Evans <br />i ame rmt) / <br />" Vice President p <br />Title 1 rm <br />ugna <br />Shall be the responsible managing employee on the license or authorized agent. <br />