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<br />Indications of potential failure or instability: <br />~0 siyNS D7~ M9SS 7'9~(urG or ~i1S7rGdr~/.~ c.Kre O~S'C~uc.~, <br />7-~l° S~~!/ 54~~~e slywp a~GOS ~70~ 9i~~or 7v ~ioi„~ '~~s~,~.~ <br />Threat to human life or prop/e~rt~y: <br />F~~ur~ Cou~o~ 4r t~G7` ~'~So~ o~- ~-p~~r~, ~f~~ P~1~~ or <br />S~~e ~9~Ngy ~a. <br />Potential harm to land, air, and water resources: <br />~9i ~u 22 L'oa/o~ ~I7~Z`' / '~ -~u~5'47`~ ~'i~ 2i~r <br />Maintenance Required: <br />i'~ ~ ~ 5 Pec 1~'c>h cPa7~Pd ~~/as-/99. <br />Supporting Documentation (Compactiontests,snrveys, photographs, othermeasurements): <br />rQ~r~ ~- <br />Inspector <br />~~~/~ <br />Date <br />~~ <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 />