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BACKFILL EXCAVAT?ON CERTIFICATE <br /> 17815 N. Hwy 88, Lockeford, CA 95237 <br /> Project Lowrien <br /> Owner Lorraine Solari phae No. (209)931-1444 <br /> Cunrcor <br /> Jim Thorpe Oil , Inc. phoncNo.(209)368-6175 LicenseNo.495699 <br /> INDICATE MET$OD OF SACK:IL.L QUALITY ASSURANCE <br /> _ .. Submission of Soil Engineer-s Compaction Repot.within 30 days of project compleroa, or <br /> X = Subtrassien of verification, e.g., Ioad :?cker, within 3C days of project comp:ceion that one of ttie foilowiny maicni.s •Ht-, <br /> placed x the ezcavadon in 12' lifts: <br /> X A. pea gravel—smooth, roanded materia: trot more than one-ha:f,1;2) inch in diaMeter <br /> B. Crushed rock--self-ccropacting maceral not more than hree-quarters (314) inch in cress mcnoral <br /> Tr easureme^r. (Ute of crushed shed rack x:ll not be pertrurmd for backfill if contact will,be made benveen <br /> the backfill material and:d tanksipipes made of poly resin glass or similar instar izis.) <br /> DECLARATION <br /> I hereby cerriiv dist a Soil Sn nc='s Companor.Report will oe submittei within 30 days of project completion. or submhsion of <br /> verification this the select material desc.bed above will be piaced at a minimum of ve (5) cubic yards per ]000 gallon tzak <br /> di-placement and dial the entire excavazicn will be baektilled ar.�d ccmpwted to insure compliance with the.Uniform Buileine Code <br /> .gppendi;x Chapter 70. <br /> Richard Thorpe <br /> . Cont or <br /> I it, r <br /> - .gnaasre <br /> • Shall be the responsible mazaging employee or.the I.ccwe cr authorized agent. <br />