090100_Structure Evaluation_20181002

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Structure Evaluation Inspection
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Facility Number: 2- -- /ate- Date:
Time in: �,•j-� Time out: // vr)
Farm Name: AA--;/ 1'c Farm 911 address:
Owner Name: )(-7 l 7;e Aso---- Phone
Facility Contact:
Onsite Representative: — Integrator: )44-
Certified Operator: Cert. Number
Is storage capacity less than adequate? Yes /No
If yes is waste level into the structural freeboard? Yes.7 No
Was non-compliant level reported to DWR POA received l
Structure: 1 2 3 4 5 6
Identifier:
Spillway?
Designed Freeboard (in.): /
Observed Freeboard (in.): 16?
Are there any immediate threats to the integrity of any of tie structures
observed? Yes No .,4Is,� ,,
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 917
Condition of receiving crop I
Comments: /71Q3 ),P0 . tfry eS /-"fret a �� //4-1;vz-of Ad" �-
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feu use s f' :tQ„ t� ;F h r � �`17r�r �v�i .:7_Tid I/ -
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