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Indicatidns of PotentiaLFailure or Instability: , -- . • ~ - _ , ,,. _ . _ _, . ; <br />~~~~. <br />Threat to Human Life or Property: _ <br />_....~ <br />`'_ r <br />• <br />w~-~ <br />C..~-k~o" _G~,.. /~e~ ~ C,"S~~LS G ~ .Pty u ~~ e ~ Per o~ <br />czc~~a,~e-~ 7 ~- oL~os~ ~-. <br />Potential Harm to Land, Air, and Water Resources: <br /> <br />Maintenance Required: <br />~~ ~P~ <br />Supporting Documentation: (Compaction tests. surveys, photographs, field measurements). <br />r~~ ~ ~~~ <br />~~~~~~- <br />Inspector <br />~~~~~~ = <br />Date <br /> <br />~;.~~ F.:,.. ~: <br />Supervising P.E.' <br />c '3' nz' r <br />_`:~' <br />Date ~••" `v'n <br />\,,- ~ .. <br />,••///ll X141:1\.\.'\~ <br />• <br />Page 2 of 2 <br />