APPENDIX B

LANDFILL INSPECTION FORMS

GENERAL SITE INSPECTION REPORTS

GENERAL SITE INSPECTION REPORTS

Page 1 of 2 TABLE 4-1

SITE 1 LANDFILL GENERAL INSPECTION CHECKLIST AND FREQUENCY M24 d2'h

Site I Landfill Post-Closurr Long-Term Maintenance Plan Fonncr Naval Air Station Moffcn Field

DCN: FWSDRAC-04-2000 CTO No. 0086. Revision 0.061181W

Page 2 of 2 TABLE 4-1

SITE 1 LANDFILL GENERAL INSPECTION CHECKLIST AND FREQUENCY

Notes:

w

Item

- Well cap integrity - Water drainage - Well locks Groundwater Monitoring Wells and Piezornefers - Riser condition (i.e., paint, integrity, cover) - Identification number legibility - Concrete collar condition - Traffic protection (i.e., bollards) - Well cap integrity - Water drainage - Well locks Stormwater Runoff Control - Water drainage - Culvert and trench drainage - Riprap - Erosion - Settlement

(a) Frequency indicates minimum requirements. Semiannual inspections will be conducted in March and September, except for the stormwater runoff control, which will be inspected before the October reainy season ane in May at the end of the rainy season. Inspections also are required after significant storm events and as needed.

@) Every 5 years from the previous surveying and iso-settlement mapping.

~ r e ~ u e n c y '

Semiannual Semiannual Semiannual

Semiannual

Semiannual Semiannual Semiannual Semiannual Semiannual

Semiannual Semiannual Semiannual Semi annual Semiannual

Abbreviations and Acronyms: NIA - not applicable

F / 7 i(u,7 vJpFc-pp/ Sitc I Landfill Post-CIosm Long-Tm Maintenance Plan

Formcr Naval Air Station Moffen Ficld

.%%??m@ DCN: FWSD-RAC-W-2000 CTO NO. 0086. Rcwsion 0.06/18/04

~E(c,uD LprE (- r'EW Tp Woi?.k)

w m ~ ] Z L / & . LA% HrLJ

Comments

f l k ? > 7b BE b m! W / / : r P e

Good

/ / J

/ 'q d

,d

/ 3( / / /

Condition

Needs Maintenance

5 EFfl0E.f

NIA

T N & Associates, Inc. PROJECT REMARKS

Engineer~ng and Science Ft;;& A I f '

SUBJECT CALC BY DATE

Y/LY/B ,!

i f l y ~ ~ /~JJ /Lorn- CHK BY DATE

T N & Associates, Inc. * A i-; Engineering and Science

C ' O T I . V I I / I ~ I I , ~ F ~ I - I J I C O I I I I I I ~ I I ~ ~ 10 / < . v c . ( ~ / / c t ~ c . c ,

SUBJECT

PROJECT

CALC BY

CHK BY

REMARKS

/ 3&?~ L

DATE

DATE

I f '

TABLE 4-1 Page 1 o f 2

8 W L s ~ c y m C,

/ I SITE 1 LANDFILL GENERAL INSPECTION CHECKLIST AND FREQUENCY 7 / r / 36

Item General Site Cond~trons - Perimeter Road - Landfill signs - Inspect for nesting owls and burrowing an~mals - Security fencing and gates - Riprap - Raptor perches Landfill Cap

- Iso-settlement and surveying landfill settlement markers - Erosion - Visual observations of settling (i.e., cracking, sloughing) - Vegetation control and restoration - Cao breaching

~requency '

Semiannual Semiannual Semiannual Semiannual Semiannual Sem~annual

Every 5 yearsb

- Water drainage Landfill Gas I Lnls - Riser condition (i.e., paint, integrity) - Identification tag vresent

Semiannual Semiannual Semiannual Semiannual

- Concrete collar condition - Screen condition Landfill Gas ~Monilorin~ M'ells

Semiannual

Semiannual Semiannual

- Riser condition (i.e.. paint, integrity) - Identification tag present - Traffic protection (i.e.. bollards) - Concrete collar condition - Well cap integrity - Water drainage -Well locks

FinPon-ClosLTMainP-Sitel _Tbl 4- 1 xls

Condition

v

/

Semiannual Semiannual

Collection Trench Wells - Concrete collar condition - Protective cover condition - Identification number legibility

Site I Landfill Post-Closure Long-Term Maintenance Plan Former Naval Air Station hloffen Field

DCN: FWSD-RAC-04-2000 CTO No. 0086. Revision 0.06/18104

Comments

W& h d 1 9 m W L J

Good

\r

V 'Y- Q

L/

I M

&-oujd , . , k l c i ~ ~ L'jrJc;<-

J

/

v

Semiannual Semiannual Semiannual Semiannual Semiannual Semiannual Semiannual

5 L J 7 9 P-Z~\CCYI

Yi9fl-~tye

% I,

Semiannual Semiannual Semiannual

Needs Maintenance

- L(/ZC W A G

Set= ~ t k - c ~ & ‘ i putz.j'

w /

v

~4 p L 7 ~

L

v

I - V

w

L/

NIA

L W ~ ( ~ p c ; K

Q

Page 2 of 2 TABLE 4-1

SITE 1 LANDFILL GENERAL INSPECTION CHECKLIST AND FREQUENCY

Notes:

Item

- Well cap integrity - Water drainage - Well locks Grormdtater Monitoring I4'ells and Piezometers - Riser condition (i.e., paint, integrity, cover) - Identification number legibility - Concrete collar condition - Traffic protection (i.e., bollards) - Well cap integrity - Water drainage -Well locks

Stormwater Runoff Control - Water drainage - Culvert and trench drainage - Riprap - Erosion - Settlement

(a) Frequency indicates minimum requirements. Semiannual inspections will be conducted in March and September, except for the stormwater runoff control, which will be inspected before the October reainy season ane in May at the end ofthe rainy season. Inspections also are required after significant storm events and as needed.

(b) Every 5 years from the previous surveying and iso-settlement mapping.

~requency '

Semiannual Semiannual Semiannual

Semiannual

Semiannual Semiannual Semiannual Semiannual Semiannual

Semiannual Semiannual Semiannual Semiannual Semiannual

Abbreviations and Acron.vms: NIA - not applicable

FinPm-ClosLTMinP-Silel _Tbl 4-1 xls

S ~ t e I Landfill Post-Closure Long-Term Maintenance Plan Former Nnval Air Station hiofferr Field

DCN: FWSD-RAC-04-2000 CTO No. 0086. Revision 0. 06118104

Comments Good

0

w

w - / -- /

w J

J

J

/

Condition

Needs Maintenance NIA

T N 8 Associates, Inc. i nr: n-rr, 1r~11 .an<.: :a t.-n::.? Project: Moffett Field

Subject IR Site 1 Landfill Date: 711 0106 Inspection notes

cracked concrete collar at surface, needs reapir.

concrete collar is fine

concrete collar is fine

concrete collar is fine

cracked concrete collar at surface, needs repair.

concrete collar is fine

concrete collar is fine

concrete collar is fine

concrete collar is fine

concrete collar is fine

pickle weed growth obscuring concrete collar. Cap can use orange paint.

pickle weed growth obscuring concrete collar

concrete collar is fine

cracked concrete collar at surface, needs repair.

concrete collar is fine

concrete collar is fine

Gopherlrodent holes on west and eastern ridge slopes.

Well lids are rusting, need orange paint.

Project: Moffett Field

Subject IR Site 1 Landfill Date: 711 0106

GV- 1

GV-2

GV-3

GV-4

GV-5

GV-6

GV-7

GV-8

GV-9

GV-10

GV-11

GV-12

GV-13

GV-14

GV- 1 5

GV-16

GV-17

GV-18

GV- 1 9

concrete collar is fine. Screen Intact.

concrete collar is fine. Screen Intact.

concrete collar is cracked at surface, needs repair. Screen Intact.

concrete collar has minor crack at surface. Screen Intact.

concrete collar is cracked at surface, needs repair. Screen Intact.

concrete collar is cracked at surface, needs repair. Screen Intact.

concrete collar is cracked at surface, needs repair. Screen Intact.

concrete collar is cracked at surface, needs repair. Screen Intact.

concrete collar is fine. Screen Intact.

concrete collar is fine. Screen Intact.

concrete collar has minor crack at surface. Screen Intact.

concrete collar is fine. Screen Intact.

concrete collar is fine. Screen Intact.

concrete collar has minor crack at surface. Screen Intact

concrete collar is fine. Screen Intact.

concrete collar is fine. Screen Intact.

concrete collar is fine. Screen Intact.

Located in engineered fill area. Screen Intact.

Located in engineered fill area. Screen Intact.

Page I of 2 TABLE 4-1

\ s d " - r Y v " b ~ 2 let 3 ,7,pf

SITE 1 LANDFILL GENERAL INSPECTION CHECKLIST AND FREQUENCY jU \\b \ O 6

\./

x

/

- Concrete collar condition - Protective cover condition - Identification number legibility

Site I L.nndlill Post-Closure Long-Tern1 Maintenance Plan Formcr Novel Air Stnrion Moffctt Ficld

D C N . FWSD-RAC44-2000 Finpoll-ClorLTMunP-Sire I-Tbl4-I XIS CTO N o 0086, Revinion 0.06/18/04

Semiannual Semiannual Semiannual

TABLE 4-1

SITE 1 LANDFILL GENERAL INSPECTION CHECKLIST AND FREQUENCY

Page 2 of 2

Notes:

(a) Frequency indicates minimum requirements. Seniiannual inspections will be conducted in March and September, except for the stormwater runoff control, which will be inspected before the October reainy season ane in May at tlie end of tlie rainy season. Inspections also are required after significant storm events and as needed.

Item

-Well cap integrity - Water drainage - Well locks

Ground~vater J,fonitoring Il'ells a t ~ d Piezon~etrrs - Riser condition (i.e., paint, integrity, cover) - Identification number legibility - Concrete collar condition - Traffic protection (i.e., bollards) - Well cap integrity - Water drainage - Well locks

Storm,vufer Runq$,fControl - Water drainage - Culvert and trench drainage - Riprap - Erosion - Settlement .

(b) Every 5 years From the previous surveying and iso-settlement mapping.

Frequency"

Semiannual Seniian~iual Semiannual

Semiannual

Semiannual Semiannual Semiannual Seniiannual Semiannual

Semiannual Semiannual Senliannual Semiannual Semiannual

A bbrrviations and Acronyms:

N/A - not applicable

Comments Good

w d

11

L--'

(I'

X 'v v

J'

w

L.-' 'L .--

/

h,.,'

.clrr

S~tr : I Lnndfill Post-Clos~~re Long-Temi Malnlrnance Plan Former Nnvnl Air Stallon MofTclt F ~ e l d

DCN FWSD-RAC-04-2000 CTO No 0086. Rcvls~on 0. 06/18/04

Condition

Needs Maintenance

(i, c < y, , jt *:If

N/A

T N IL Associstea. Inc.

rlw,~-,.IJ Jr,,2 ?.,:;e,-,i:,5 Project: Moffett Field

Subject IR Site 1 Landfill Date: 1011 6/06 Inspection notes

W1-8 cracked concrete collar at surface, needs reapir.

W1-16 pickle weed growth obscuring concrete collar

W1-1 R concrete collar is fine

W 1-24 concrete collar is fine

LGMW1-1 cracked concrete collar at surface, needs repair.

Wl-5 pickle weed over growth, looks OK

LGMW1-4 concrete collar is fine

Wl-19 concrete collar is fine

W1-20 concrete collar is fine

PZI-2 1 concrete collar is fine

W1-15 pickle weed growth obscuring concrete collar. Cap can use orange paint.

W1-14 pickle weed growth obscuring concrete collar

LGMWI-2 concrete collar is fine

LGMWI-3 cracked concrete collar at surface, needs repair.

W1-7 concrete collar is fine

PZI-18 concrete collar is fine

Gopherlrodent holes north end of site.

Well lids are rusting, need orange paint.

Subject IR Site 1 Landfill Date: 1011 6/06 z,, <:- 7 ,

c+. 1p4c-i cg

t Associates. Inc. r-,f?,~,rs:; .:;!-&I:: ..I::el-,:..?:- Project: Moffett Field

GV- 1

GV-2

GV-3

GV-4 Intact.

GV-5

GV-6

GV-7

GV-8

GV-9

GV-10

GV-11

GV-I 2

GV-13

GV-14

GV-15

GV-16

GV-17

GV-18

GV- 1 9

pailz , 2. . l 2 .I , -j

concrete collar is fine. Screen Intact.

concrete collar is fine. Screen Intact.

concrete collar is cracked at surface, needs repair. Screen Intact.

concrete collar has minor crack at surface, needs repair. Screen

concrete collar is cracked at surface, needs repair. Screen Intact.

concrete collar is cracked at surface, needs repair. Screen Intact.

concrete collar is cracked at surface, needs repair. Screen Intact.

concrete collar is cracked at surface, needs repair. Screen Intact.

concrete collar is fine. Screen Intact.

concrete collar is fine. Screen Intact.

concrete collar is cracked at surface, needs repair. Screen Intact.

concrete collar is fine. Screen Intact.

concrete collar is fine. Screen Intact.

concrete collar is cracked at surface, needs repair. Screen Intact.

concrete collar is fine. Screen Intact.

concrete collar is fine. Screen Intact.

concrete collar is fine. Screen Intact.

Located in engineered fill area. Screen Intact.

Located in engineered fill area. Screen Intact.

SANTA CLARA COUNTY LANDFILL INSPECTION REPORTS