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<br />Indications of potential failure or instability: <br />No S%Sn s o-~ Huss 7~,' ~~~ o~ <br /> <br />!nt° S~4ll Su~Cr S~vr,~p pr~;ovSlr nom 46otr,~/~< 3r'~ <br />~jc.~, dat.°S not QPP °4 r 7'n /tvhc i,.m~s~-~~. <br />Threat to human life or property: <br />M. ~4~ C.sa(o~ L°~'f' PC+XavS Or ~~*''f M~ ArCr" ~.~~C <br />Poten//tial harm to la/nod, ai~r,~a/n'd water/resou/r~ces: p <br />}{i, l4r1~ C~ f~ ct7iPG'~ T~° I u ~ Q ~t9'~. ~''u~r <br />Maintenance Re wired: , <br />The S•+o//S~4ti~P cboue ~e 3~a~P Ir+e~, nt•4r 7~ ev~-d*,4.~ ~.;//r,r~al~ <br />rrPo;r. 71~ p r-ti•Pc; ~ w,' li ,'nvo~ re»,ov,'nJ cater, °LK,ow7~:~g odrv~f/~~a~cpYt i+~~7`~r <br />W4S~y P~ac~~9 ~rPt~ Qn~ pp7`~~r IJRC/' ~~r//~~~C~~'Oti~~~'~!1/otr,s~7'+~T 7`er17-4.' ~.~py~y- <br />QrIr1 r'Gs!'~j~, ~ ,va ~' 7'^~"'t 'f~r4s S~irTOC~ .~l~Iir1 Sryt, for ~ ~'/'et'7T~ ~ 7~~ <br />o~n and mot- be a~(owr~ Ya pore/ en 7'~e ~nc/1, <br />Supporting Documentation (Compactiontests, surveys, photographs, other measurements): <br />/'1 t?.rf o~r•~!K-, ~ro ~ 6neys~ e° Q7`fccl,.,~/ <br />Ins edor <br />~l ~l'~ <br />Date <br />Send to: Colorado Division of Minerals ~ Geology within 2 weeks of quarterly inspection <br />(4.09.1(1 1)(b)). <br />"See 4.0911(c) for additional requirements. <br />Job No. 28,17Q Page 2 0: 2 <br />