820307_Structure Evaluation Inspection_20181004

Structure Evaluation inspection . .
Facility Number: -- 607 Date: /
Time in: 3, Time.out: Gl : z
Farm Name: Farm 911 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 r
Was non-compliant level reported to DWR POA received t
Structure: 1 2 3 4 5 6
Identifier: AI
Spillway?
Designed Freeboard (in.):
Observed Freeboard (in.): /‘o
Are there any immediate threats to the integrity of any of 4-he structures
observed? Yes No ..
Do any structures lack adequate markers as required by the permit? Yes
Does any part of the waste.rri.aiiagement system need repair Yes No
Condition of field's rY\..:.
Condition of receiving crop. z1�C
Comments: