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INSPECTION REPORT - WEST PIT FILL <br />INDICATE QUARTER --> 1sT ❑ 2ND (9 3RD ❑ 4TH 2013 <br />YEAR <br />ALL QUARTERS NEED TO BE CERTIFIED �F <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: 6/19/2013 by Peter Epp <br />Reviewed By: <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 84.2 ft <br />If yes, explain: <br />Date of Measurement: 6/25/2013 <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: 6/25/2013 <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: 6/25/2013 <br />Inspected By: T. Peterson <br />tt t t t t t t[[[ q� 'J" <br />�p0 LlC <br />� P 9000...• �`'./, ��i <br />.o s• a <br />Signed: G &A�42257 Z • <br />•.'�� <br />•90.0.0. <br />i O� •.• •: <br />Date: ZZ S/ F �C� ��.`4 <br />/ 0 - <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 />