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• INSPECTION REPORT ~ STREETER FILL <br />INDICATE QUARTER -~ ~sr 2NO 3RD 4rH ® 2004 <br />YEAR <br />THE FOLLOWING ITEMS ARE TO BE INSPECTED AND REPORTED AS NOTED: <br />1) <br />Has any significant change been noted in the water level found in the fill monitoring <br />well? <br />X No Yes Measured Level 99.3 ft. <br />If yes, explain: <br />Date of Measurement: 11/3/2004 <br />Measured By: K. Blunt & J. Pickarts <br />2) Has there been any formation of springs or seeps on the face of the fill? <br />X No Yes <br />If yes, explain: <br />Date of Inspection: 11/3/2004 <br />Inspected By: K. Blunt and J. Pickarts <br />• l ANSWER AND NOTORIZE THESE QUESTIONS FOR SECOND QUARTERl <br />3) Has any significant change been noted in the survey monuments on the fill? <br />No Yes <br />If yes, explain: <br />Date of Survey: <br />Reviewed By: <br />4) 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 />Signed' <br />P.E. o. 3 ~ X16 ~ <br />Date: N aJ.,. 6.,, 1.1~2y J `/ <br />1~1 <br />LJ <br />Reference Permit -Volume 1, Page 4.09-1 <br />CF 23.7.7 <br />