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INDICATE QUARTER <br />INSPECTION REPORT - WEST PIT FILL <br />SST D 2ND D 3RD ® 4TH D <br />* ALL QUARTERS NEED TO BE CERTIFIED <br />2012 <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: 09/04/2012 <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 83.1 ft <br />If yes, explain: <br />Date of Measurement: 09/13/2012 <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: 09/13/2012 <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: 09/13/2012 <br />Inspected By: T. Peterson <br />;1.01.1.1.1.1.1.i■ci.,(4,-,t, ��� <br />U ''- 32257 z: <br />a; <br />13 Y�lrlr'z� <br />1. <br />i ' ' . , �lb L ` <br />ill <br />THOMAS C PETERSON <br />P.E. No. 32257 <br />Date: ( il! � l�Z <br />Reference Permit - Volume 5 -B, Exhibit 19, Page I a -4 <br />CF: HSEQ 24.20 Revised March 7, 2006 <br />