090209_Structure Evaluation Inspection_20190907

Structure Evaluation Inspection
Facility Number: Ot --. 2.0/ Date: o 5����-
Time in: 3.''..5.- Time out: TO.
Farm .Name: 174-P/4 .Th Lc.L4 Ac = 2 4'2 l✓Gle arm 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 POA received
Structure: 1 2 3 4 5 6
Identifier:
Spillway?
Designed Freeboard (in.):
Observed Freeboard (in.):
Are there any immediate 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
Does any part of the waste,rriahagement system need repair Yes No
Condition of field's
Condition of receiving crop.
Comments: („ 4-IL ',IA.(