090034_Structure Evaluation Inspection_20200316

Structure Evaluation Inspection . .
Facility Number: -- Jr Date:
Time in: ,Ara Time.out:
Farm Name: � �r�s� ��°e% Farm 911 address:
Owner Name: G / /j� � Phone
Facility Contact: / e7 i,�,
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 e/ 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.): /0. i '
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.rrianagement system need repair Yes No
Condition of field's .
Condition of receiving crop •
Comments: