820218_Structure Evaluation Inspection_20180925

Structure Evaluation 9ns ecti' .. -b
N •n .
Facility Number: 6 -- -25-' Date:
Time in: /-'3O Time out: LD cD
Farm Name: Farm 911 address:
Owner Name: /7/4 /Su Phone
Facility Contact:
Onsite Representative: Integrator:
Certified Operator: Cert. Number
Is storage capacity less than adequate? Yes r/ No
If yes is waste level into the structural freeboard? Yes Z-No
Was non-compliant level reported to DWR - POA received
Structure: 1 2 3 4 5 6
�J_ 1
Identifier:
ti
;Spillway? •
� S
Designed Freeboard (in:): :
Observed Freeboard (in.):
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 ( sr),
Condition of receiving crop. f;i0J'''
Comments: