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INSPECTION REPORT - WEST PIT FILL <br />INDICATE QUARTER —> 1 D 2ND D 3RD ® 4 TH <br />* ALL QUARTERS NEED TO BE CERTIFIED* <br />2011 <br />YEAR <br />THE FOLLOWING ITEMS ARE TO BE INSPECTED AND REPORTED AS NOTED: <br />1) Has any significant change been noted in the survey monuments on the fill? <br />No X Yes <br />If yes, explain: <br />Date of Survey: 9/9/2011 <br />Reviewed By: Jerry Macias & Tom Peterson <br />2) Has any significant change been noted in the water level found in the fill monitoring <br />well? <br />No X Yes Measured Level 73.40 ft <br />If yes, explain: <br />Date of Measurement: 9/19/2011 <br />Measured By: T. Peterson <br />3) Has there been any evidence of surficial slope failure on the face of the fill? <br />No X Yes <br />If yes, explain: <br />Date of P.E. Inspection: 9/19/2011 <br />Inspected By: T. Peterson <br />4) Has there been any formation of springs or seeps on the face of the fill? <br />No X Yes <br />If yes, explain: <br />Date of Inspection: 9/19/2011 <br />Inspected By: T. Peterson <br />` ottIItIlIi j // <br />p 0 L l C <br />F <br />• •' C . pc '• s G <br />Of <br />S . • p <br />Signed: �' 32257 Z. <br />:ms <br />:� l•.)2 s <br />Date: i s <R v <br />Jltttt <br />TH P.E. E PETERSON <br />. No. 3225 <br />Reference Permit - Volume 5 -B, Exhibit 19, Page I a -4 <br />CF: HSEQ 24.20 Revised March 7, 2006 <br />