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MAR-18-99 THU 05:54 PM P, 04 <br /> SWILL EXCAVATION CERTMCATE <br /> °Projectcion 0 <br /> P No.LJ <br /> Owner <br /> Cd ctar one No. r uccase No. — <br /> INDICATE METHOD OF BACKML QUALITY ASSURANCE <br /> 1. submission of Soil `s Compaction Report,within days of project completion.or <br /> ?. <br /> submis4ian of vcrif . e.p.. load ticket. within 30 days of project completion that ona of the following materials was <br /> ®" p ed in the excavation in 12 lifts; <br /> A. Pea gruvel-smooth,rounded material not more than owttalf(IM inch in diameter <br /> 8. Crushed rock-self-<.ro al not more than a=-quarwn (3/4) inch in cross sectiotW <br /> wM not be perminedfor if contact will be de between <br /> the 1 erial and pipesmade of poly resin glass or similar •terials_) <br /> DECLARATION <br /> I hereby certify that a Soil s Co ascian n will be tui wi 30 of j completion, or submission of <br /> verifwation t the select material above will be placed ata minimumof the ( iC yards per 1000 Sailors <br /> tank <br /> displacement re excavation will be backfMcd amd cognpaatW to i=urg tomptia=e with ehe Umfbrm Building Code <br /> ApperAix Chapter 70. <br /> - ' Painc krr=;s <br /> C.49 <br /> C <br /> w Shall he the responsible managzag CMPIOYft On the Hcem or authormed agent. <br />