820250_Structure Evaluation Inspection_20180927

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• Structure‘Evaluation InSpection
Ae!Facility Number: . Date:
• Time in: V-((c Time out: /,'/f
Farm Name: /7"P:77d/ • Farm 91.1 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.): / 67 /ey - -
Are there any immediate threats to the integrity of of the structures
• observed? Yes No
Do any structures lack adequate markers as required by the permit? Yes No
•• ,
Does any part of the Wast ...17jahagementsystem need repair-Yes' • No
Condition of field's
•
Condition of receiving crop
Comments:
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