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INSPECTION REPORT - WEST PIT FILL <br />INDICATE QUARTER > 1ST D 2 ND ® 3RD D 4 TH D 2012 <br />* ALL QUARTERS NEED TO BE CERTIFIED <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: 05/15/2012 <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 81.40 ft <br />If yes, explain: <br />Date of Measurement: 05/29/2012 <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: 05/29/2012 <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: 05/29/2012 <br />Inspected By: T. Peterson <br />• <br />:•- 32257 � • <br />¢ � <br />'s S 24 /,(44 : <br />T R M P E T E R S O N P.. EA No. 32257 SO <br />Signed: <br />Date: 5 12. 9 l/ L <br />` , ‘ 011111101 14 <br />P O0 L /C' <br />� ....... . <br />�• • � . P f r •. S i <br />U O � F p s • p r. <br />YEAR <br />Reference Permit — Volume 5 - B, Exhibit 19, Page I a - 4 <br />CF: HSEQ 24.20 Revised March 7, 2006 <br />