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VCTOR <br /> NGINEERING, INC. <br /> SUBGRADE ACCEPTANCE FORM <br /> Project Name FORWARD WMU FU-06 <br /> .Project Number 02.1605-07 <br /> Location STOCKTON, CALIFORNIA <br /> Installer Name GSE <br /> Area to be accepted: tAMTA %bef, 4� - ( U QAOJDL,r7 Q.40 qKfA <br /> I THE UNDERSIGNED, DULY AUTHORIZED REPRESENTATIVE OF THE <br /> INSTALLER, DO HEREBY ACCEPT THE SUBGRADE SURFACE CONDITION UPON <br /> WHICH THE GEOMEMBRANE WILL BE INSTALLED AND SHALL BE RESPONSIBLE <br /> FOR MAINTAINING THE INTEGRITY AND SUITABILITY OF THE SUBGRADE <br /> SURFACE CONDITION IN ACCORDANCE WITH THE SPECIFICATIONS FROM THIS <br /> DATE TO COMPLETION OF THIS INSTALLATION. I DO NOT ACCEPT ANY <br /> RESPONSIBILITY FOR THE CONDITIONS OR CHARACTER OF THE SUBSURFACE <br /> SOIL. <br /> 1l <br /> NAME PRINT) Slqi AT RE TITLE DATE <br /> WITNESSED BY VECTOR ENGINEERING, INC. <br /> NAME (PRINT) SIQ#ATURE TITLE DAT <br /> 7/22/06, Rev.1 <br /> G-2 <br />