820439

5§614-
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Structure Evaluation inspection ,
Facility Number: - 9 Dater
Time in: . 91170. Time out: f-4—
Farm Name: f- iy .(j 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
Was non-compliant level reported to DWR POA received
Structure: 1 2 3 4 5 6
Identifier:
Spillway?
Designed Freeboard (in.): l 7 / i / - _
Observed Freeboard (in.): oe/.
. Are there any immediate threats to the integrity of any ofthe structures
observed? Yes No
•
Do any structures lack adequate markers as required by the permit? Yes _ No
Does any part of the waste:rimanagement system need repair Yes No
Condition df'field's
Condition of receiving•crop
Comments: `'.Fr0-33

Structure Evaluation Inspection
g7
Facility Number: 82 -= I-03r Date:
Time in: Time out: J,'
Farm Name:'. /( ram 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
Was non-compliant level reported to DWR POA received
Structure: 1 2 3 4 5 6
Identifier:
Spillway?
Designed Freeboard (in.):
Observed Freeboard (in.):
Are there any immediate threats to the integrity of any of the structures
observed? Yes No
•
Do any structures lack adequa;te markers as required by the permit? Yes No
Does any part of the waste_:ra anagement system need•repair Yes No
Condition offield's -
Condition of receiving crop
Comments: /
{
•

f..
Structure Evaluation Inspection
Facility Number: -- '439- Date: IS—1
Time in: 5.'ocp Time out: 6 !3�
Farm Name: --�/-r-r-a �—/�.2,/ 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
Was non_compliant.level reported to DWR POA received
Structure: 1 2 3 4 5 6
Identifier:
Spillway?
Designed Freeboard (in.): . •
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.Jiiahagement system need repair Yes No
Condition of field's
Condition of receiving crop.
L e
Comments: � —mod ��r`�,5 ` -�' � .�
g(feJL,„—e)(
O '

Structure :Evaluation Inspection
Facility Number: Date.:. . /
Time in: `'T:30 Time out: . 1 ( , a�
Farm Name: -0-, 4 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 '
Was non-compliant:level reported to DWR. POA received
Structure: 1 2 3 '. 4 5 .5
• Identifier:
Spillway?
. Designed Freeboard (in.): '
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_:rr anagement system need repair Yes No
•
Condition offield's
Condition of receiving crop
Comments: ���� '_ ��" k .