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ACCEPTANCE OF SURFACE CONDITION <br /> Project Name: 'C-776 �aL I Lava cl A I <br /> Location: a/ya a�r- <br /> Installer Name: aS E <br /> Area To Be Accepted 1�1�r Ve p � l a0 e-1l7 <br /> I, THE UNDERSIGNED, DULY AUTHORIZED REPRESENTATIVE OF THE <br /> INSTALLEP.,FR DO HEREBY ACCEPT THE SURFACE CONDITION AND SHALL BE <br /> RESPONSIBLE FOR MAINTAINING THE INTEGRITY AND SUITABII.I'I'Y IN <br /> ACCORDANCE THE PROJECT SPECIFICATIONS FROM THIS DATE TO <br /> COMPLETION OF THIS INSTALLATION. I DO NOT ACCEPT ANY <br /> RESPONSIBIL= FOR THE CONDITIONS OR CHARACTER OF THE SUBSURFACE <br /> SOIL. <br /> INSTALLER REP ENTA . wrESSED BY VECTOR: <br /> Lj r Q e 't <br /> NAME (PRUM N (PRUM <br /> IL <br /> SIGNATURE SIGNATURE <br /> TITLE TITLE <br /> L�[ 1 -7J ` ) - 17 c�j <br /> DATE DATE <br /> m:\forms\wilsurl.acc <br />