820301_Structure Evaluation Inspection_20200114

Structure Evaluation Inspection
Facility Number: �� -- / Date:
Time.in: '3:=c Time out:
Farm Name: Yiarkg- I Farm 911 address:
Owner Name: Phone
Facility Contact: To 'n7 P74f—
Onsite Representative: Integrator:
Certified Operator: /Cert. Number
Is storage capacity less than adequate? Yes d No
If yes is waste level into the structural freeboard? Yes No
Was non-compliant level reported to DWR POA received
Structure: 1 2 J 3 . 4 5 6
Identifier: �°`� % 67-✓"�-
Spillway?
Designed Freeboard (in.): / : - ,l l`�
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.rnanagement system need repair Yes No -.
Condition of field's w
Condition of receiving crop. 0-5,o',o(
Comments: