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• INSPECTION REPORT -SECTION 16 FILL <br />INDICATE QUARTER ~ 1s7 2NO 3RO 47}I ® 2004 <br />YEAR <br />THE FOLLOWING ITEMS ARE TO BE INSPECTED AND REPORTED AS NOTED: <br />1) Has any significant change been noted in the water level found in the fill monitoring <br />well? <br />X No Yes Measured Level 55.0 ft. <br />If yes, explain: <br />Date of Measurement: 11/4/2004 <br />Measured By: K. Blunt <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: 11/4/2004 <br />Inspected By: K. Blunt <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. o. 3?268 <br />ti~~e~.~~~- rl. ~~ <br />• <br />Reference Permit -Volume 5-B, Exhibit 19, Page II a-4 <br />CF 23.7.7 <br />