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<:C=OMANCO <br />ENWRONMENTAL CORPORATION BOOT ACCEPTANCE <br />0 INSTALLER: COMANCO ENVIRONMENTAL CORPORATION <br />PROJECT NAME: Republic Forward Landfill PROJECT NO: 5093548 <br />LOCATION: 1/1 <br />%! W 4 T <br />PIPE BOOT NUMBER: 21 PANEL NUMBERS: / 6 <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 ) r • * W ® A41- and found the boot to be acceptable <br />for installation of the geomembrane. Ir— • 1 <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 />® Pm! <br />Signature <br />'e. r o A <br />Print Name <br />COMANCO QUALITY T TECHNICIAN <br />ignature <br />A<a e-Zp, <br />Print Name <br />COMANCO BOOT INSTALLTION TECHNICIAN <br />Signature <br />Pq r r`4, ot g SR cwt Z <br />Title <br />�sIIs/ ®moi <br />Date <br />e ` s <br />Title <br />46 // SLO <br />Date <br />e Ch •rfc,fg I,, <br />Title q <br />/®s o <br />Print Name Date <br />CQA IN R PRESENTATIVE / OWNER <br />(.QA go" "-fa r <br />Signature Title <br />eQsLac� <br />Print Name Date <br />Rev. 11/26/08 <br />