Laserfiche WebLink
Project Location: <br />Owner <br />JUN 2 1 2023 <br />INDICATE METHOD OF BACKFILL QUALITY ASSURANCE <br />1. Submission of Soil Engineer`s Compaction Report within 30 days of project <br />completion, or <br />2. Submission of verification, e.g., load ticket, within 30 days of pro�ect.com�letion <br />that one of the following materials was placed in the excavation in 12 lifts: <br />A. Pea gravel --smooth, rounded material not more than one-half (1/2) <br />inch in diameter <br />B. Crushed rock--self-compacting material not more than three- <br />quarters (3/4) inch in cross sectional measurement. (Use of <br />crushed rock will not be permitted for backfill if contact will be made <br />between the backfill material and tanks/pipes made of poly resin <br />glass or similar materials.) <br />1 hereby certify that a Soil Engineer`s Compaction Report will be submitted within 30 <br />days of project completion, or submission of verification fihat the select material <br />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 <br />compliance with the Uniform Building Code Appendix Chapter 70. <br />Title <br />Sign <br />*Shall be the responsible managing employee on the license or authorized agent. <br />'OO <br />f1Q <br />