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Neighborhood C Great Valley Parkway—Mountain House, California <br /> Annual Inspection Checklist—Page 1 (Site# 10 1854) <br /> Name of Person Completing Inspection: <br /> Address of Inspector: <br /> Phone number of Inspector: <br /> Date and Time of Inspection: <br /> How was inspection performed? <br /> Weather conditions: <br /> YES NO <br /> 1 Are cracks present in the asphalt or pavement? <br /> 2 Are potholes present? <br /> 3 Are there any areas where standing water collects on the pavement? <br /> 4 Does the area drain thoroughly after each rain storm(no standing water on sides <br /> of road)? <br /> 5 Has there been any construction or repairs within the area of the Remediation <br /> System in the past year? <br /> 6 Has the integrity of the Remediation System area been compromised in any way <br /> in the past ear? <br /> 7 Is there a residence, including any mobile home or factory built housing, <br /> constructed or installed for use as residential human habitation on the <br /> Remediation System? <br /> 8 Is there a hospital for humans on the Remediation System? <br /> 9 Is there a public or private school for persons under 21 years of age on the <br /> Remediation System? <br /> 10 Is there a day care center for children on the Remediation System? <br /> 11 Is there evidence of any utilities,including but not limited to: gas, electric,water, <br /> telephone, fiber optics, cable or sewer having been placed in the Remediation <br /> area, or at a distance so that installation, use, or repair of those utilities would <br /> jeopardize the integrity of the Remediation System? <br />