090183_Structure Evaluation Inspection_20210108

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Structure Evaluation Inspection
Facility Number: 9 Date:
Time in: li/Jr1-) Time out:
Farm Name: 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? No
Was non -compliant level reported to DWR
POA received/4-s
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._management system need repair Yes No ----
Condition of field's
Condition of receiving crop
Comments:
OL;df