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INSPECTION REPORT - WEST PIT FILL <br />INDICATE QUARTER —> 1 D 2ND D 3RD 4TH ® 2011 <br />* ALL QUARTERS NEED TO BE CERTIFIED* <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: 10/19/2011 <br />Reviewed By: Jerry Magas & 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 74.20 ft <br />If yes, explain: <br />Date of Measurement: 10/18/2011 <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: 10/18/2011 <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: 10/18/2011 <br />Inspected By: T. Peterson <br />Signed: <br />Date: <br />p F -, <br />i U i0 "Pip: • <br />• <br />32257 z <br />i : , . i. <br />- THO � CP TE - SON <br />P.E No. 32257 <br />Reference Permit - Volume 5 -B, Exhibit 19, Page I a -4 <br />CF: HSEQ 24.20 Revised March 7, 2006 <br />