820724_Structure Evaluation Inspection_20200114

Structure Evaluation Inspection
Facility Number: -- Date: /— 1I D
Time in: 1/,'D Time out: L/
Farm Name: ('b Farm 911 address:
Owner Name: Phone
Facility Contact: /YR.
Onsite Representative: C Q.-11.z-rfiiu,- 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 24,-:.5
Structure: 1 2 3 4 5 6
Identifier:
Spillway?
• Designed Freeboard (in.):
Observed Freeboard (in.): /j
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 management system need repair Yes No /
Condition of field's ar-r:a_&- . /A>if.
Condition of receiving crop F rZZ• '1L--,--74
Comments: