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<br />Indications of potential failure or instability: <br /> <br />No 5:9nS o-~' /i'~4SS ~r„/4r~ m~ i'ns~c6;/,'y~, we~m6S~r~~/. ]7,~ <br />5~,4/i s~~~~t S~4~P P~:ows y ~~~ 46~~ ~~ ,~~~.~ ~e~~ <br />poet i/o7` o/P~r ~'o ~v~ wo~senpd~ <br />Threat to human life or~p~rro~perty: <br />~,,lLTC CoUIcP c°-~G7L ~er'Son S Dr L°QtI,'PN'r~i+~ i1 ~.4r P,'lC. <br />Potential harm to land, air, and water resources: <br />Fay lu~t_ ccu(o0 ez~' rt ~e Pwr~4)So~•'r° ~~.~-: <br />Maintenance Required: <br />~1e{kr;r y-~e 5~// f/uM~p// obov~~e ~;r~ l~e~c~i CF:~q. J~. ~-c4~,r:° <br />'~'i,~w5~i *~e CmugJ'i/J~ T+*e~SYL°~ P~GB '`'~~~7~9briCi 0.,$'7`c/Si~7CCi <br />/'oclc 4rIGt 4n~Y~er /ay~J'm><' ~%'/~u- ~'46r.'c p~;or- ro r~O,lx~n,~y covr/'. <br />Dvy/~~i ~ proi~'f O•r~ Provs~p ~ot,~4~e ~~%~'Fye- 7~ eQSf d'/girl CFy. a, <br />Supporting Documentation (Compactiontests, surveys, photographs, othermeasurements): <br />Tq ~ l~ Z~ fi~ a rrs 1 4-,~( ~ <br />Inspector <br />/a /a~ L~~ <br />Date <br />Supervising P. E. <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 />Job No. 28,170 Page 2 of 2 <br />