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O <br />(C: :OM A N DCO CERTIFICATE OF PIPE PENETRATION <br />.-, <br />BOOT <br />COMANCO ENVIRONMENTAL --•-. • <br />PROJECT NAME: Republic Forward Landfill PROJECT NO: 5093548 <br />LOCATION: <br />is <br />PIPE BOOTPANEL <br />The undersigned, J. Saenz / P. Medina ,certifies that he/she is a representative of COMANCO <br />Environmental Corporation authorized to execute this certificate, that he/she has inspected and verified the <br />Pipe Boot described above on /' " '&Q ® A- T and found the boot to be acceptable <br />for installation of the geomembrane. 1' 17, <br />This certification is based on the inspection of the pipe penetration boot only. No pipe installation 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 />AUTHORIZED REPRESENTATIVE OF COMANCO ENVIRONMENTAL <br />Signature Title <br />TIC r 11 1 rye 0 S A G.'l Z l 'sZC2 q <br />Print Name Date <br />COMANCO QUALITY T TECHNICIAN <br />Signature <br />/0 C" <br />Print Name <br />COMANCO BOOT INSTALLTION TECHNICIAN <br />Signature <br />�jr�4hU �c. �! <br />Print Name <br />e <br />Title <br />S-0-5 l o g <br />Date <br />TeCAnfc-fez <br />.Title <br />/®S /®cf <br />Date <br />CQA I O / W ER REPRESENTATIVE / OWNER <br />f�A Moo <br />Signature Title <br />PS�D9 <br />Print Name Date <br />Rev. 11/26/08 <br />