820217_Structure Evaluation Inspection_20210120

Structure Evaluation Inspection
Facility Number: --
Time in: Y/L3 Time out:
Date:
/
Farm Name: P7-14,ciii ,,,,/v)// Farm 911 address:
Owner Name: /14- Phone
Facility Contact: _
Onsite Representative: - -e-e integrator:
Certified Operator: Cert. Number
Is storage capacity less than adequate? Yes No -----
If yes is waste level into the structural freeboard? Yes
Was non -compliant level reported to DWR
Structure:
Identifier:
Spillway?
Designed Freeboard (in.):
Observed Freeboard (in.):
No
2 3
POA received
4 5
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:
tu)
=,-(3