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,_~• <br /> <br />Indications of pote/n~tial failure or/i~nstability: <br />/Vp Sr9hS 07' MASS ~`Gi lures Q~ <br />ltijosJ' Sl iPes 1~+~ co~~ H.,j`~ <br />Snow. Tie sr''~v~~ Sar Eye -S~r~rP <br />Threat to human life or property: <br />,- , <br />0 <br />ASS no7` QPf~~ ~ ~vuc <br />f-a,l~~ Gould a~i~rrt ~~.s~,s mr,~rB~ruy ~~~ <br />Potential harm to land, air, and water resources: <br />~r ~~- <br />Maintenance Required: <br />t• ;~' SMa!/ 5~n~•~,~ A46/0~ 3zo 6~~ ~s GPesc~•1~0 <br />Supporting Documentation (Compactiontests,snrveys, photographs, othermeasurements): <br />r~~~ 1 <br />-:::~ <br />.:, ' ,,, <br />,: <br />~~=~i7 <br />~. <br />Inspector Supe ising P. E. ~ ' t .3~~ _-~ ;': <br />„`r~,~.~ <br />,r <br />Date <br />Send to: Colorado Division of Minerals & Geology within 2 weeks of quarterly inspection <br />(4.09.1(11)(b)). <br />"See 4.0911(c) for additional requirements. <br />Job No. 28,170 Page 2 of 2 <br />