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INSPECTION REPORT - WEST PIT FILL <br />INDICATE QUARTER —> 1 ST ® 2ND D 3RD D 4 TH E 2012 <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: 03/16/2012 <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 79.60 ft <br />If yes, explain: <br />Date of Measurement: 03/13/2012 <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: 03/13/2012 <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: 03/13/2012 <br />Inspected By: T. Peterson <br />4 / � s • S G. P S� <br />• Signed: cP.„.. • ~ 32257 z <br />• „J..: <br />27 /4+ 'F rS N <br />/O AL • E�� ` <br />Date: 3 <br />THOMAS C PETERSON <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 />