820698_Structure Evaluation Inspection_20180927

Structure Evaluation Inspection
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Facility Number: � _ Date:
Time in: f' 5:30 Time out: ��_3
Farm Name: 61,•ya,, Farm 911 address:
Owner Name:
Phone
Facility Contact:
Onsite Representative: Integrator: S '„7.4-r�yf
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-compliantlevel reported to DWR POA received
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Structure: 1 2 3 4 5 6
Identifier:
Spillway?
Designed Freeboard (in.):
Observed Freeboard (in.): _5e
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;;rrjanagement system need.repair Yes No /
Condition of>field's A2F =
Condition of receiving crop &ems&
Comments: ` v � �s. Si��� •�ra