820240_Structure Evaluation Inspection_20181004

Structure Evaluation Inspection . .
Facility Number: Date: /0' "/
Time in: :16 Time.out: 41;
1
Farm Name: Farm 911 address:
Owner Name: Gt-�aJ r31�� � 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 l POA received
Structure: 1 2 3 4 5 6
Identifier:
Spillway?
Designed Freeboard (in.):
Observed Freeboard (in.): /9-
. , 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.management system need repair Yes No i
Condition of field's
Condition of receiving crop. .` . •
Comments: o
` � `t-'�'x-1"-ram 4' loD p1