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Indications of potential failure or instability. <br /> <br />Thrcazto/butt/tan life or property. <br />l/n ~~ <br />Potential harm to land, air, and water resottrrxs. <br />Maintenance Required. <br />~/rYt-- ~~/` ~ <br /> <br />Supporting Documentation (Co/mpaction tests,/sure~s, hotogrdphs, Ch¢er-meamremrnu). <br />~~y~%1' of „p2%t/o~~Z~~ !~/~N~C~ c~fl~ L2~E~"""°~ <br />_59-~ ~ 4 <br />~'li~~~ <br />Inspector / Supervi_arr~q~P.~?'-""~ .~: <br />Date ~- -`~ _„:,~' <br />Send to: Colorado Division of Minerals & Geology within 2 weeksnt quazterly_inspecti3n (4.09.1(I1)(b)). <br />• See 4.0911(c) for additional requirements. '•=, .; s=,. `~ <br /> <br />\" J <br /> <br />Page 2 of 2 <br />