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,, ~,. . <br />i <br />Indications of Potential_Fadure or Instability - :mow ~~},u[, fir,-:; ~ ; ,,; ,-, - ._, ,,. <br />j1/o ~hQcC~~S... d~ ~o~eufia--Q -~o~c(.C~~' ©v' ~d1Sfia6rt~~ <br />(,~efe! o~S2V`tJe~• <br />Threat to Human Life or Property: <br />~~.P~ a~~-e~ p~er~So~s ~~ ~~aper~ a~P~,a~e,~?L <br />f-~t ~u~ <br />(IBC. ~(S~c`l S a~ A~pC~ . <br />Potential Harm to Land, Air, and Water Resources: <br />~=C.C l ccr~ ~ C ~ ~.eXc~ i ltirsrlcL~ ~" l'u./~ c..-~~'r 2 li ~ ved. <br />Maintenahce Required: <br />~Y' `~_ <br />Supporting Documentation: (Compaction tests, surveys, photographs, field measurements). <br />Inspector ~ <br />i~/ay of <br />Dates <br /> <br /> <br />...:~,. <br />~••.~"tea``,. <br />Supervising .E. = ~ ~"'~`~ r;~ <br />„'; :w• <br />•.. ~ ~'~ <br />IJ1gld~ ` :~-~~, <br />Date •--.. ••''~~_' <br />Page 2 of 2 <br />