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U <br />a IN <br />ILL <br />4Q.,0 M A 0000; <br />ENVIRONMENTAL CORPORATION <br />0 <br />INSTALLER: COMANCO ENVIRONMENTAL CORPORATION <br />PROJECT NAME: PROJECT NO: <br />LOCATIOV-. <br />AREA ACCEPTED: 511, Doc <br />PANEL NUMBERS: 2 <br />GRADE ACCEPTANCE: INSPECTOR: <br />GENERAL CONTRACTOR: <br />OWNER: <br />AUTHORIZED REPRESENTATIVE: <br />The undersigned, --Tovm 6"N"10',Lca' certifies that he/she is a representative of COMANCO <br />Environmental Corporation authorized tVexecute this certificate, that he/she has visually inspected the <br />subgrade surface described above on Z - Q, 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 regarding conditions which May exist below the surface of the subgrade. <br />AUdTHHqAfEf:NP REPRESENTATIVE OF COMANCO ENVIRONMENTAL <br />Signature % Title <br />DATE <br />OWNER REPRESENTATIVE <br />® / -- Ut <br />cc�A QV <br />Signature Title DATE <br />4301 Sterling Commerce Dr Plant City Tampa, FL 33566 — (813) 988-8829 — FAX (813) 988-8953 <br />