820545_Structure Evaluation Inspection_20181015

Structure Evaluation Inspection
Facility Number: g7--- -- 5V Date: /b— I s-/
Time in: / 4; o-o Time out: I.l
Farm Name: �'� 1 ;ws s Farm 911 address:
Owner Name: Phone
Facility Contact:
Onsite Representative: Integrator:
Certified Operator: Cert. Number
Is storage capacity less than adequate? Yes No
If yes is waste level into the structural freeboard? Yes ' No
Was non-compliant level reported to DWR y-LS •POA received =S
Structure: 1 2 3 4 5 6
Identifier:
Spillway?
•
Designed Freeboard (in.): it-
Observed Freeboard (in.): 6,7,.1.1
Are there any immediate threats to the integrity of any of he structures
observed? Yes No •
Do any structures lack adequate markers as required by the permit? Yes = No
Does any part of the waste.management system need repair Yes No
Condition of field's
Condition of receiving crop
Comments: j—5 _ ��