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INSPECTION REPORT - WEST PIT FILL <br />INDICATE QUARTER 1sT ❑ 2ND El 3RD ❑ 4TH ® 2012 <br />YEAR <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: 10/03/2012 <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 83.8 ft <br />If yes, explain: <br />Date of Measurement: 11/13/2012 <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: 11/13/2012 <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: 11/13/2012 <br />Inspected By: T. Peterson <br />Signe <br />Date <br />THOMAS C PETERSON <br />P.E. No. 32257 <br />Reference Permit - Volume 5 -13, Exhibit 19, Page I a -4 <br />CF: HSEQ 24.20 Revised March 7, 2006 <br />