Laserfiche WebLink
CORPORATION <br />CERTIFICATE OF SUBGRADE SURFACE ACCEPTANCE <br />INSTALLER: COMANCO ENVIRONMENTAL CORPORATION <br />PROJECT NAME: OAU) PROJECT NO: MpeAwl b <br />PANEL NUMBERS: bo <br />GRADE ACCEPTANCE: INSPECTOR: <br />GENERAL CONTRACTOR: <br />OWNER: <br />AUTHORIZED REPRESENTATIVE: /7 <br />The undersigned, certifies that he/she is a representative of COMANCO <br />Environmental Corporation authorized t xecute this certificate, that he/she has visually inspected the <br />subgrade surface described above on —110-5— and found the surface to be acceptable <br />for installation ofthe geomombrane. <br />This certification is based on observation of the surface of the subgrade only. No subsurface inspections <br />ob <br />or test have been performed and COMANCO Environmental Corporation makes no representations or <br />warranties regarding conditions which may exist below the surfaceof the b nede <br />AUTHORIZ RES�NT/A'|VEOF[�[)K8AWC�OENViRONK8ENTAL <br />Signature 1% Title DATE <br />OWNER REPR SEN A VE <br />Title DATE <br />Si nature <br />4301Sterling Commerce D[Plant City Tampa, FL33560~(813)G88-8029~FAX 0313\S88-8953 <br />REV &26/08 <br />Rev 2110105 <br />( <br />