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BACKFILL EXCAVATION CERTIFICATE <br /> Project Location 1819 South Argonaut, Stockton,CA <br /> pyncrJohn Taylor Fertilizer (Stockton Facility) Phone No.916-991-9813 <br /> ContractorRamcon Eng. Phone No.916-375-7535 License No.510034 A Haz <br /> INDICATE METHOD OF BACKFILL QUALITY ASSURANCE <br /> 1. Submission of Soil Engineer's Compaction Report within 30 days of project completion,or <br /> X 2. Submission of verification, e.� load ticket, within 30 days of project completion that one of the following materials was <br /> placed in the excavation in 12 lifts: <br /> X A. Pea gravel--smooth, rounded material not more than one-half(1/2) inch in diameter <br /> B. Crushed rock--self-compacting material not more [hart three-quarters (3/4) inch in cross sectional <br /> measurement. (Use of crushed rock will not be permitted for backfill if contact will be trade between the <br /> backfill material and tanks/pipes made of poly resin glass or similar materials.) <br /> DECLARATION <br /> I hereby certify that a Soil Engineer's Compaction Report will be submitted within 30 days of project completion, or submission of <br /> verification that the select material described above will be placed at a minimum of five (5) cubic yards per 1000 gallon tank <br /> displacement and that the entire excavation will be backfilled and compacted to insure compliance with the Uniform Building Code <br /> Appendix Chapter 70. <br /> *Rollo Stephens <br /> Name t <br /> *Operation Tanager <br /> ie t <br /> * Stgrifaire <br /> ' Shall be the responsible managing employee on the license or authorized agent. <br /> I <br /> i <br /> i <br /> i <br />