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<br />Indications of potential failure or instability: <br />No ev~~vlce o~ ~-e~ s~b~ c~~~s, mac. IQs <br />Threat/to human life or property: <br />~~i fug ~©vl~ P~C'~ QCrs a~zs o ~ ~~°P e~ <br />Potentlial harm to land,~aDir, and/w}at~er resources: Q <br />~y'r/u~ COT' cLT~`~cf J~ht° ~4~j4~e~,~ ~~ <br />Maintenance Required: <br /> <br />Supporting Documentation (Compactiontests, surveys, photographs, othermeasurements): <br />Inspector <br />Date <br />Send to: Colorado Division of Minerals 8 Geology within 2 weeks of quarterly inspection <br />(4.09.1(11)(b)). <br />"See 4.0911(c) for additional requirements. <br /> <br />Job No. 28,170 Page 2 of 2 <br />