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• INSPECI"I®N REP®RT ~ VHEST P9S FILL <br />INDICATE QUARTER -~ 1sT ZNO Sao 4TH ~ Qp~ <br />YEAR <br />~F ALL QUARTERS NEED TO BE NOTOR/ZED ~t- <br />THE FOLLOWING ITEMS ARE TO BE INSPECTED AND REPORTED AS NOTED: <br />1) <br />Has any significant change been noted in the survey monuments on the fill? <br />~_No Yes <br />If yes, explain <br />Date of Su <br />Reviewed <br />2) Has any significant change been noted in the water level found in the fill monitoring <br />well? <br />No Yes Measured Level <br />If yes, explain: <br />Date of Measurement: <br />Measured Bv: <br />3) Has there been any evidence of surficial slope failure on the face of the fill? <br />No Yes <br />If yes, explain: <br />Date of P.E. Inspection: <br />Inspected By: <br />4) Has there been any formation of springs or seeps on the face of the fill? <br />No Yes <br />If yes, explain: <br />Date of Inspection: <br />Inspected By: <br />Signe ' <br />P. o. 33268 <br />Date: i~~r ~~ 3 i, Zooy <br />Reference Permit -Volume 5-B, Exhibit 19, Page I a-4 <br />CF 11.9.7 <br />