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INSPECTION REPORT - WEST PIT FILL <br />INDICATE QUARTER 1ST ❑ 2ND 11 3RD ® 4TH ❑ 2013 <br />YEAR <br />*ALL QUARTERS NEED TO BE CERTIFIED <br />THE FOLLOWING ITEMS ARE TO BE INSPECTED AND REPORTED AS NOTED: <br />1) Has any significant change been noted in the survey monuments on the fill? <br />No X Yes <br />If yes, explain: <br />Date of Survey: 9/20/13 by Elliot Russell <br />Reviewed By: Lee Sampson <br />2) Has any significant change been noted in the water level found in the fill monitoring <br />well? <br />No X Yes Measured Level 84.6 ft <br />If yes, explain: <br />Date of Measurement: 9/17/13 <br />Measured By: Lee Sampson <br />3) Has there been any evidence of surficial slope failure on the face of the fill? <br />No X Yes <br />If yes, explain: <br />Date of P.E. Inspection: 9/17/13 <br />Inspected By: Lee Sampson <br />4) Has there been any formation of springs or seeps on the face of the fill? <br />No X Yes <br />If yes, explain: <br />Date of Inspection: 9/17/13 <br />Inspected By: Lee Sampson <br />..�►►uuw�•- <br />47031 <br />Signed: <br />Date: `err Z 7- /3 <br />Reference Permit - Volume 5 -13, Exhibit 19, Page I a -4 <br />CF: HSEQ 24.20 <br />Revised March 7, 2006 <br />