090150_Structure Evaluation Inspection_20181002

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Structure Evaluation Inspection
Facility Number: 4'a -- ./1/45—D Date: / o —p-— / S
Time in: ( 1 4 '30 Time-out:• /� !
Farm Name: ,4,75K .1 Farm 911 address:
Owner Name: uch S (;�_ 3 _ �.. 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 'e5 POA received ye-3
Structure: 1 2 3 4 5 6
Identifier: •
Spillway? '.
Designed Freeboard.(in.): .: . .
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Observed Freeboard (in.):
Are there anyirrirnediate threats to the integrity of any of the structures
observed? Yes .No
Do any structures lack adequate markers as required by the permit? Yes No
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Does any part of the.waste•management system need repair Yes No
Condition of field's .
Condition of receiving crop. 74 )0(.c ,
Comments:
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