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.i mfl�E C E�r-", NorthStar JAN 0 5 2010 Recovery services ENVIRONMENT HEALTH PERMITISERVICES STATEMENT OF WORK COMPLETE Customer: _ /� S Address: 315/ Contract Number: Contract Date: Project Location: 426/, �4/ 2�,3 Scope of Work Summary: :/Q ,�eZ 7 NOGG� Ccr-- 4 L I have inspected the work performed by NRS and/or its designated (Initial) Subcontractor under the above described Contract. No items of Work remain to be corrected to be completed. (Initial) t All Work complies with the requirements of the Contract in all (Initial) respects and has been completed to Customer's satisfaction. Customer, Third Party Representative By: Name: I Title: Date: I;