H9177-2 - Bureau of Land Management
H9177-2 - Bureau of Land Management
H9177-2 - Bureau of Land Management
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15<br />
DAM CONDITION ASSESSMENT CHECKLIST<br />
Coordinator, Safety <strong>of</strong> Dams Signature ___________________________ Date___________________<br />
NAME OF DAM: ______________________________ Date Inspected:____________________<br />
Photos:<br />
Insert description <strong>of</strong> photographs on this page. Identify the feature, item, or deficiency that is captured by the photograph, and identify<br />
the direction in which the photograph is taken; i.e., “Main embankment from the west abutment looking east.” Add a text box for each<br />
photograph included. Provide additional photographs, as needed.