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TOR <br /> ENGINEERING, 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: C—AejT fl-kYOg - "fit C. P-I'L� t\ <br /> ;1ISy f CL <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 /> 5-lQoyd 4-)rd-6& <br /> NAME (PRINT) SIGNATURE TITL K DATE <br /> WITNESSED BY VECTOR ENGINEERING, INC. <br /> NAME (PRINT) S NATUR TITLE DA E <br /> 7/22/06, Rev.1 <br /> G-2v <br />