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Indications of potential failure or instability. <br />Threa[ to human life o/r,..,property. Q ~ ~ . ' a[/~' I,~r~ 4 <br />UA ~l ke (,~ J I / o u! ~v-Pi1 {~w~-uv` COQ' (m~ ~~ ~'~P/~ a~-~1 <br />~~ ~ r 1`-z ~~ S7`f f~ Z .- e w a-,rto~ ~,-~ ~ ~ a c~~ <br />P,ote/ntia(l~harm to land, air, and wazer resotttces. / Q <br />v~l~r/~el~ ~O~hdLdCvfiJ ~(lu/-L Gur.~t~j /yt~/H~C~~/+zrv,a~f <br />Maintenance R/equired. / ff -~`-- ~7 <br />/ /, G~Pkrn Qttir S~O~N~ ~~9C/ ~firf~'/t°~ Ptiarrrac~~ <br />~C~~. / O ~ <br />Supporting Documentation (Compaction tests, surveys, photographs, other measurements). <br />~/o ~ G~[ r/~ ~ r J Gi ~t G.1 <br />ctyGfi Z ~7,--- <br />pector <br />e~ y. i9,~ <br />Date <br />:rvising P.E. = , <br />Send to: Colorado Division of Minerals & Geology within 2 weeks of quarterly inspection (4.09.10 l)(b)). <br />* See 4.0911(c) for additional requirements. <br /> <br />Page 2 of 2 <br />