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ACCEPTANCE OF SURFACE CONDITION <br /> Project Name: Lo o-W a bl Lc� -,A SL I I <br /> Location: (Y� ,-A P c C <br /> Installer Name: `7 E <br /> Area To Be Accepted Pg e�_� <br /> I, THE UNDERSIGNED, DULY AUTHORUMD REPRESENTATIVE OF THE <br /> INSTALLER, DO HEREBy ACCEPT THE SURFACE CONDITION AND SHALL BE <br /> RESPONSIBLE FOR MAINTAR41NG THE INTEGRITY AND SUITABILITY IN <br /> ACCORDANCE pRojECT SPECIFICATIONS FROM THIS DATE TO <br /> COMPI.ETION OF THIS INSTALLAnON. I DO NOT ACCEPT ANY <br /> RESPONSIBUM FOR THE CONDITIONS OR CHARACTER OF THE SUBSURFACE <br /> SOIL. <br /> INSTALLER REPRESENTATIVE: wr SED BY VECTOR: <br /> (,[ �i f.�1d'/v, I'' ISG a�'� <br /> t. NAME (PRINT) NAME (PRINT) <br /> SIGN SIGNATURE <br /> � TITLE <br /> DATE DATE <br /> mAformAsoilsur i.acc <br />