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v Transmolftal of Pr"ect'sf <br />CONSTRUCTION, INC. <br />CA License No. 616851 Submittal No. 1027 Sequential No. C <br />An "2 ua/ R fm e" <br />To: <br />Return To: <br />Department of Public Works, San Joaquin County <br />R J Gordon Construction Inc. <br />PO Box 23204 <br />Pleasant Hill, CA 94523 <br />Attn: Awni Taha <br />Tel: 925-680-8660 Fax: 925-680-8670 <br />Date Sent: 6/18/2015 Date Received / <br />/ Date Returned: <br />Project Name: <br />Contract No.: <br />Constuction of Area 2A at the Foothill Sanitary Landfill <br />Project Location: 6484 Waverly Rd <br />Job No.: <br />Linden, CA <br />Engineers: Awni Taha <br />RJG Job Number: 15-0302 <br />Submittal No. 1027 Sequential No. C <br />A - No Exceptions Taken <br />Item: Geosynthetic Clay Liner <br />B - Make Corrections Noted <br />Spec. Section/Paragraph No.: 2778 <br />C - Amend Resubmit <br />Supplier/Subcontractor: Great Basin Environmental <br />D - Rejected - Resubmit <br />Original Submittal: 2nd 3rd r—.71 4th <br />Comments, if any, attached 0 pages <br />Indentifying No. of Pages Detailed Description <br />Number Sets P/Set [Itemized List of Submittal Contents] <br />Documentation Type A B C <br />Copies Ret. <br />1 UCL Roll WE "& A Data <br />1 Benoliner Manufacturing Certs <br />1 Quality Assurance Lab Results <br />X <br />Submitted By: Noah Johnson Date <br />6/18/2015 [a] We have verified that the material or equipment contained in this <br />submittal meets all the requirements specified or shown. <br />Submittal Stamp: <br />No Exceptions x <br />[b] We have verified that the material equipment contained in this <br />submittal meets all the requirements specified or shown, except for the <br />following deviations. <br />Exceptions Noted <br />Project Engineer. <br />Name: Krzysztof Jesio k <br />Signature: <br />Date: 20 June 2015 <br />