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1 <br />i <br />• <br />• <br />III IIIIIII II IIII III <br />sss <br />Doc Dete:12/ U211 ~ 01 <br />~'~`~z 6 <br />INSPECTION REPORT -SECTION 16 FILL <br /> <br />THE FOLLOWING ITEMS ARE TO BE INSPECTED AND REPORTED AS NOTED: <br />1) Has any significant change been noted in the survey monuments <br />No Yes / <br />If yes, explain: <br />2) <br />3) <br />Date of Survey: <br />Reviewed by:_ <br />Has <br />change been noted in the water level found in the fill monitoring <br />well? <br />~_No Yes Measured Level S8. ~5 <br />If yes, explain: <br />Date of Mean <br />Measured by: <br />Has there been any evidence of surficial slope failure h~f'ace of the fill? <br />No Yes <br />If yes, explain: <br />Date of P.E. Inspec <br />Inspected by: <br />4) Has there been any formation of springs or seeps on the face of the fill? <br />'C No Yes <br />If yes, explain: <br />Date of Inspection: IZ • 3.~1~+ <br />Inspected by: ~ltM„l,~i~ <br />Signed: ~~ <br />P.E. No. ~ 315 S 6 <br />/Z-Iz -5 <br />• <br />