820597_Structure Evaluation Inspection_20201001

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Structure Evaluation Inspectiori •.
Facility Number: ,c9-7 Date:
Time in: 6/ i Time out: If, tt
Farm Name: Farm 911 address
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Owner Name: Phone
Facility Contact:
Onsite Representative: V
Integrator: .
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Certified Operator: V • -Cert. Number V
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Is storage capacity less than adequate? Yes No • , , •
If yes is waste.level into the structuralfreeboard? Yes No
Was non-compliant leyel reported to DWR V V V POA received
Structure: 1 2 VV V 3 4 , 5 6
Identifier:
Spillway? ,
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Designed Freeboard (in.): / :
Observed Freeboard (in.): - • , •
.•V Are there any immediate threats to the integrity of-any of the structures
• observed? Yes No
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Do any structures lack adequate markers as required by the permit? Yes, No
Does any part of the waste.,:rOanagement system need repair Yc No
Condition of4ield's
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Condition of receiving crop
Comments: 61),(oC1-1)-ve-- -
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