820250_Structure Evaluation Inspection_20180926

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•, -Structure Evaluation inspection •
Facility Nurnb'er: Date:._
Time in: JO 45-7 Time out:
Farm Name: //we'll Farm 911 address:
Owner Name • ._ Phone - - -•
Facility Contact: _ • .
Onsite Representative: ,
IntegratOrt
,
Certified Operator; Cert. Number
Is storage capacity less than adequate? Yes ,Nlo •• '. • ' -
If yes is waste level into the structural freeboard? -Yes
Was non-compliant level reported to DWR POA received '
Structure: 1 2 ' 4 5 6
Identifier:
Spillway?
Designed Freeboard (in.): /9 ' •
Observed Freeboard (in.): /lr /
.• Are there any immediate threats to the integrity of any of tbe'structUrg
• observed? Yes No
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Do any structures lack adequate markers as required by the perthit? NO •
Does any part of the waste,„rbahagement system nee-cl repair Y e's - No ' • —
Condition of field's „.. • . . -
Condition of receiving crop
Comments:
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