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s ,. , <br />Indications of potential failure or instabil'cty; <br />do .s~.'s,'b r~ ~t.~~clrw~c ~~ ~~'~-~~ <br />wqs v~s~~~d <br />a <br />c m~ ~, ~>~ <br />Threart to human life or plrSopertyn~+ <br />- I-9~~L~PCd~~ut'd' 47~`CG~1t p,.nMS 4~.0 L°~yiPM~°r1~ /levy' Pip <br />Potenrrtial harm to land, air, and waterres~ouJrc-es:Q /~ <br />` fT+i~~4~1' COa.I~ 4 T~ (N~4~~j' ,\rvL`y. <br />~s~ n+~ ~ s oa e <br />of r4; nos ~ y-p wo Ns a,/r~ai'~ . <br />Supporting Documentation (Compaction tests, surveys, photographs, other measurements): <br />Maintenance Required: , i ~ <br />(~ rQG es~vbl,'~ti ~otrf%~ rOlq~w'P ~r< /!8r>~~+kr~S7' ~o~~r^ <br />®~ tco~r- ~~ ~c. e <br />S~t1II~f.°rOSiO^ cl,Qrln~/ 6e ~•~ v~~ /sr' ~~'Pr ~ <br />Inspector <br />Date <br />n~~~ ~ <br />~~ ~~~ <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. CTL/THOMPSCN.. INC. <br />1971 WEST 12TH AVENUE <br />DENVER `' ~ ~ `~O ao2o4 <br />z8~i~o <br />