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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.

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