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BACKFILL EXCAVATION CERTIFICATE <br /> Project Location: Northeast corner of Farmington Rd and E Mariposa Rd Stockton, CA <br /> Owner Walgreens Phone No: 650-689-5073 <br /> Contractor:All Chem Phone No:510-434-9200 <br /> License No:599864 <br /> INDICATE ET D OF BACKFILL QUALITY ASSURAN <br /> 1. Submission of Soil Engin is Compaction Report within 30 da s of project <br /> completion, or <br /> 2. Submission of veri ation, e.g., load ticket, within 30 day of project completion that <br /> one of the f wing materials was placed in the ex vation in 12" lifts: <br /> _A. Pea gravel--smooth, rounded material of more than one-half(1/2) <br /> inch in diameter <br /> _B. Crushed rock--self-compacting m erial not more than three-quarters <br /> (3/4) inch in cross sectional me urement. (Use of crushed rock will <br /> not be permitted for backfill if ntact will be made between the <br /> backfill material and tanks/pi s made of poly resin glass or similar <br /> materials.) /1 <br /> DEC RATION, <br /> I hereby certify that a Soil Engineer's ompaction Report will be submitted within 30 days <br /> of project completion or submission f verification that the select material described above <br /> will be placed at a minimum of five 5) cubic yards per 1000 gallon tank displacement and <br /> that the entire excavation will be ackfilled and compacted to insure compliant ith the/ <br /> Uniform Building Code Append1 hapter 70. t <br /> *Name F ank R. Poss <br /> n b <br /> Till V <br /> nn <br /> gnat <br /> *Shall b the responsible managing employee on the license or authorized agent. <br />