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QLANCr <br />000� <br />ENVIRONMENTAL CORPORATION <br />CERTIFICATE OF SUBGRADE SURFACE ACCEPTANCE <br />INSTALLER: COMANCO ENVIRONMENTAL CORPORATION <br />PROJECT NAME: PROJECT NO: <br />LOCATION: <br />AREA ACCEPTED: <br />PANEL NUMBERS: <br />GRADE ACCEPTANCE: INSPECTOR: <br />GENERAL CONTRACTOR: <br />OWNER: <br />AUTHORIZED REPRESENTATIVE: <br />The undersigned, 13 & 00 —certifies that he/she is a representative of COMANCO <br />1 <br />Environmental Corporation authorized execute this certificate, that he/she has visually inspected the <br />subgrade surface described above on and found the surface to be acceptable <br />for installation of the geomembrane. <br />This certification is based on observation of the surface of the subgrade only. No subsurface inspections <br />or test have been performed and COMANCO Environmental Corporation makes no representations or <br />warranties Legardin2 conditions w!)jcq may exist below the surface of the subgrade. <br />A U T H 07R10 ENTATIVE OF COMANCO ENVIRONMENTAL <br />-ciao <br />Signature Title DATE <br />OWNER REP ATIV <br />7// <br />'-A <br />#1nature Title DATE <br />4301 Sterling Commerce Dr Plant City Tampa, FL 33566 — (813) 988-8829 — FAX (813) 988-8953 <br />REV &26108 <br />0 Rev 2110105 <br />