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'~'1' _'~ <br />(; <br />Indicatio//n~~s of potentia/i `failure or instability: <br />~liia(.C~/1CP ~O7` ~'L°~"Sie+^ C/Z^IGt~' j ~~ <br />a <br /> <br />Threat to human life or property: <br />~~ ~u ~ C©u(~ ~~ ~~~sans er ~rePe~y ~~~~~ t <br />-to ~; ~~ <br />Potential harm to land, air, and water resources: D <br />~"G, ~u~ Cou~~ 4 ~cf ~ Pvi~~7ery I~ilr~' <br />Maintenance Required: <br />I" ~h~ <br />Supporting Documentation (Compaction tests, surveys, photographs, other measurements): <br />i <br />Inspector <br />~/~~, <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 <br />Page 2 of 2 <br />