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CTOR <br /> ENGINEERING INC. <br /> SUBGRADE ACCEPTANCE FORM <br /> Project Name&/�")l� <br /> Location /7 - ,Gw- <br /> Installer Name 6 S 16� <br /> Area To Be Accepted 1 Az- • J 1P- 7 ✓�-1°- 6 <br /> Fac-o� c�- <br /> 1 THE UNDERSIGNED, DULY AUTHORIZED REPRESENTATIVE OF THE <br /> INSTALLER DO HEREBY ACCEPT THE SUBGRADE SURFACE CONDITION AND <br /> SHALL BE RESPONSIBLE FOR MAINTAINING THE INTEGRITY AND SUITABILITY <br /> IN ACCORDANCE WITH THESE SPECIFICATIONS FROM THIS DATE TO <br /> COMPLETION OF THIS INSTALLATION. I DO NOT ACCEPT ANY RESPONSIBILITY <br /> FOR THE CONDITIONS OR CHARACTER OF THE SUBSURFACE SOIL. <br /> 3 <br /> N ME (PRINT) :)SIGNATURE TITLE DATE <br /> WITNESSED BY VECTOR ENGINEERING, INC. <br /> /ems d✓ <br /> NAME (PRINT) lGNATURE TITLE ATE <br /> 4/23/03, Rev. 0 <br /> G-2 <br />