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<br />C <br />Monument Dam <br />Inspection Form <br />Date: VQ /0 <br />Time: .3 r,,,, <br />Name of Inspector: (2, <br />Current Panel Being Mined: -t <br />? Weekly Inspection V Monthly Inspection <br />Yes No <br />? N? Is mining within 1 mile of Monument Dam? <br />? i Are there visible surface cracks on the dam? <br /> If yes, indicate length and size of crack. <br />? k' Is there evidence of subsided areas on or around dam? <br /> If yes, indicate where and degree. <br />? Are there bulges on the dam? <br /> If yes, indicate where and degree. <br />? Are there signs of seeps on the dam? <br /> If yes, indicate where and estimated flow. <br />? Are there any other potentially damaging features on the dam? <br /> If yes, describe. <br />? [ Are there any recent evidences of slope failure on the landside south of the <br /> dam (perform visual inspection and data analysis of inclinometers)? <br /> If yes, describe. <br />Notes: <br /> <br /> <br />Signature of Inspector: <br />Inspections are performed u aet the directio o hael J. Peacock, P. E. <br />-If cracks or other potentially damaging features occur, notify Ryan Sweetwood or <br />Wendell Koontz immediately.