820478_Structure Evaluation Insp_20210112

Structure Evaluation Inspection
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Facility Number: Ro, Date:
Time in: I DO Time out: 9
Farm Name:q.9(10 Ws\J Farm 911 address:
Owner Name: JOe Phone
Facility Contact: io.e
Onsite Representative: Integrator: Gfl'IIthI1/
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: a
Spillway? �O Ni
Designed Freeboard (in.): 1 1
Observed Freeboard (in.): al ai
Are there any immediate threw to the integrity of any of the structures
observed? Yes No
Do any structures lack adequate markers as required by the permit? Yes — Nol/
_
Does any part of the waste, management system need repair Yes No
Condition of field's fyet : vat,.
Condition of receiving crop nt-�` .Lto�lj� j,�-� C��`
Comments: