1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
32ND PL AND MANHATTAN AVE
3/21/2017
U-1209-6134
10:04AM MACP LEVEL -1
MH-0043
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACKED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
32ND PL AND MANHATTAN AVE
3/21/2017
U-1209-6134
9:52AM MACP LEVEL -1
MH-0044
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
32ND PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS AND BRICK HOLE
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/21/2017
U-1209-6134
9:35AM MACP LEVEL -1
MH-0045
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
32ND PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code B
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
31ST PL AND MANHATTAN AVE
3/22/2017
U-1209-6134
8:08AM MACP LEVEL -1
MH-0047
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MANHATTAN AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/22/2017
U-1209-6134
7:59AM MACP LEVEL -1
MH-0048
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
31ST PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
30TH PL AND MANHATTAN AVE
3/22/2017
U-1209-6134
9:05AM MACP LEVEL -1
MH-0049
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
30TH PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED STEP
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
30TH PL AND MANHATTAN AVE
3/22/2017
U-1209-6134
8:58AM MACP LEVEL -1
MH-0050
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MANHATTAN AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition NA
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/22/2017
U-1209-6134
8:47AM MACP LEVEL -1
MH-0051
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
30TH PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
29TH CT AND MANHATTAN AVE
3/22/2017
U-1209-6134
11:17AM MACP LEVEL -1
MH-0052
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
29TH CT A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition NA
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
NO CHANNEL
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/22/2017
U-1209-6134
11:11AM MACP LEVEL -1
MH-0053
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
29TH CT A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
28TH CT AND MANHATTAN AVE
3/22/2017
U-1209-6134
11:39AM MACP LEVEL -1
MH-0054
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
28TH CT A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/22/2017
U-1209-6134
1:35PM MACP LEVEL -1
MH-0055
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
28TH CT A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments MH IS LINED UP WITH MAP BUT MH LID SAYS MANHATTAN BEACH NOT HERMOSA BEACH
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF 33RD ST AND INGLESIDE DR
4/3/2017
U-1209-6134
9:01AM MACP LEVEL -1
MH-0060
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
33RD ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code Y
Inspection Status SI
Access Type: AMH
Surface Type: 4
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 4
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
NO CHIMNEY
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
NEXT TO DRIVEWAY AND WALK WAY ON PRIVAT PROPERTY
4/3/2017
U-1209-6134
8:53AM MACP LEVEL -1
MH-0061
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
33RD ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/20/2017
U-1209-6134
1:17PM MACP LEVEL -1
MH-0062
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
33RD ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
MISSING BRICK
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
MISSING BRICK
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition NA
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
NO CHANNEL
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/20/2017
U-1209-6134
1:14PM MACP LEVEL -1
MH-0063
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VISTA DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code B
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
POSSIBLY METAL COATED WITH PLATIC
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
LONGFELLOW AVE AND INGLESIDE DR
3/21/2017
U-1209-6134
8:30AM MACP LEVEL -1
MH-0070
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LONGFELLOW AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code D
Inspection Status SI
Access Type: AMH
Surface Type: 4
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
CORNER OF LONGFELLOW AVE AND INGLESIDE DR
3/21/2017
U-1209-6134
1:20PM MACP LEVEL -1
MH-0071
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LONGFELLOW AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code B
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACK
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACK
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
CORNER OF LONGFELLOW AVE AND VALLEY DR
3/21/2017
U-1209-6134
1:05PM MACP LEVEL -1
MH-0072
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LONGFELLOW AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
STEPS CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
CORNER OF VALLEY DR AND 31ST ST
3/21/2017
U-1209-6134
12:53AM MACP LEVEL -1
MH-0073
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code H
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 4
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED 1 MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
BOUNDARY PL JUST BEFORE ARDMORE AVE
3/24/2017
U-1209-6134
9:49AM MACP LEVEL -1
MH-0074
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
BOUNDARY PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code H
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MIDDLE OF THE STREET ON BOUNDARY PL
3/24/2017
U-1209-6134
9:33AM MACP LEVEL -1
MH-0075
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
BOUNDARY PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code H
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED 1 MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON BOUNDARY PL
3/24/2017
U-1209-6134
9:20AM MACP LEVEL -1
MH-0076
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
BOUNDARY PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code H
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON BOUNDARY PL JUST BELOW PCH
3/24/2017
U-1209-6134
9:10AM MACP LEVEL -1
MH-0077
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
BOUNDARY PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
CORNER OF LONG FELLOW AVE AND ARDMORE AVE
3/24/2017
U-1209-6134
7:43AM MACP LEVEL -1
MH-0078
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LONGFELLOW AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 4
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
IN THE GRASS NEXT TO SIDEWALK
3/24/2017
U-1209-6134
7:53AM MACP LEVEL -1
MH-0079
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LONGFELLOW AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code H
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring 1
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments FRAME HAS BEEN RAISED WITH CONCRETE RINGS AND LOOKS LIKE A ADJUSTMENT RING.
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ALLEY BETWEEN LONGFELLOW AVE AND 3TH ST
3/24/2017
U-1209-6134
11:22AM MACP LEVEL -1
MH-0081
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ALLEY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code H
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
IN ALLEY BETWEEN LONGFELLOW AVE AND 30TH ST
3/24/2017
U-1209-6134
11:29AM MACP LEVEL -1
MH-0081A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ALLEY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code H
Inspection Status SI
Access Type: AMH
Surface Type: 5
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments SURFACE HAS BOTH CONCRETE AND ASPHALT
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED 1 MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ALLEY BETWEEN LONGFELLOW AVE AND 30TH ST AND ABOVE TENNYSON PL
3/24/2017
U-1209-6134
10:17AM MACP LEVEL -1
MH-0082
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ALLEY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THER METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON TENNYSON PL BETWEEN 30TH AND LONGFELLOW
3/24/2017
U-1209-6134
10:08AM MACP LEVEL -1
MH-082A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
TENNYSON PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code A
Inspection Status SI
Access Type: AMH
Surface Type: 5
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 5
General Comments SURFACE IS BOTH CONCRETE AND ASPHALT
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED 1 MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
CORRODED PIPE RUNNING THROUGH IT
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
NEAR SIDEWALK ON PCH AND AN ALLEY BETWEEN 30TH AND
LONGFELLOW
3/24/2017
U-1209-6134
11:10AM MACP LEVEL -1
MH-0083
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PACIFIC COAST HWY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code A
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 4
2 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
CORNER OF PCH AND LONGFELLOW
3/24/2017
U-1209-6134
8:44AM MACP LEVEL -1
MH-0084
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PACIFIC COAST HWY A.SOUZA
Chimney Condition
BROKEN CONCRETE AND BRICK
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 4
Cover Type: 10
Fit: 3
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition NA
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
NO CHANNEL
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
NEXT TO SIDEWALK IN A GRASS PATCH ON LONGFELLOW AVE
3/24/2017
U-1209-6134
8:33AM MACP LEVEL -1
MH-0085
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LONGFELLOW AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 4
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 2
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
LOOKS LIKE EXTRA CONCRETE FELL ON BENCH
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
NEXT TO DRIVEWAY NEAR SIDEWALK OFF OF LONGFELLOW AVE
3/24/2017
U-1209-6134
8:05AM MACP LEVEL -1
MH-0086
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LONGFELLOW AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACKS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACKS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
CORNER OF LONGFELLOW AND MORNINGSIDE DR
3/21/2017
U-1209-6134
9:22AM MACP LEVEL -1
MH-0088
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LONGFELLOW AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition NA
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACKED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACKED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
NO CHANNEL
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/20/2017
U-1209-6134
12:20PM MACP LEVEL -1
MH-0089
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LONGFELLOW AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 2
Bench Deffect Comments
Channel Condition 2
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
DETERIORATING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
DETERIORATING
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MORNINGSIDE DR AND 33RD PL
3/20/2017
U-1209-6134
12:32PM MACP LEVEL -1
MH-0090
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MORNINGSIDE DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition NA
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
NO CHANNEL, TOP OF LINE
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
33RD PL AND HIGHLAND AVE
3/20/2017
U-1209-6134
12:25PM MACP LEVEL -1
MH-0091
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
33RD PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code c
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 3
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF 25TH ST AND MANHATTAN AVE
3/23/2017
U-1209-6134
10:44am MACP LEVEL -1
MH-0101
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
25TH ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH A PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE ITS METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF 25TH ST AND PALM DR
5/2/2017
U-1209-6134
12:15PM MACP LEVEL -1
MH-0101A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
25TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 1
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF MYRTLE AVE AND 25TH ST
3/22/2017
U-1209-6134
3:41PM MACP LEVEL -1
MH-0103
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
25TH ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE ITS METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
2 Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
ROOTS
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF SILVERSTRAND AND 25TH ST
3/23/2017
U-1209-6134
11:22AM MACP LEVEL -1
MH-0104
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
25TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/23/2017
U-1209-6134
11:35AM MACP LEVEL -1
MH-0105
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
25TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
2 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
SMALL CRACKS
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/22/2017
U-1209-6134
3:53PM MACP LEVEL -1
MH-0108
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MYRTLE AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/22/2017
U-1209-6134
3:46PM MACP LEVEL -1
MH-0108A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MYRTLE AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
NEXT TO SCHOOL
3/22/2017
U-1209-6134
3:28PM MACP LEVEL -1
MH-0109
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MYRTLE AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
2 Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition NA
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACKS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACKS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
NO CHANNEL
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
CRACKS
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MYRTLE AVE AND 26TH ST
3/22/2017
U-1209-6134
3:16PM MACP LEVEL -1
MH-0111
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MYRTLE AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
2 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments DROP CONNECTIONS IN MH
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
LIGHT CRACKS
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/22/2017
U-1209-6134
4:01PM MACP LEVEL -1
MH-0112
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
OZONE CT A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
OZONE CT AND 27TH CT
3/22/2017
U-1209-6134
2:06PM MACP LEVEL -1
MH-0113
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
OZONE CT A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition NA
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED AND PART OF IT MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/22/2017
U-1209-6134
2:15PM MACP LEVEL -1
MH-0114
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
27TH CT A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/22/2017
U-1209-6134
2:00PM MACP LEVEL -1
MH-015
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
OZONE CT A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF MANHATTAN AVE AND 16TH ST
5/2/2017
U-1209-6134
10:47AM MACP LEVEL -1
MH-0121
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
16TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
NO CHIMNEY
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON MANHATTAN AVE JUST BELOW 16TH ST
5/2/2017
U-1209-6134
10:35AM MACP LEVEL -1
MH-0121A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MANHATTAN AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 5
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED AND 1 MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF 16TH AND BAYVIEW DR
4/10/2017
U-1209-6134
1:29PM MACP LEVEL -1
MH-0122
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
16TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 2
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF 16TH AND LOMA DR
4/10/2017
U-1209-6134
2:20PM MACP LEVEL -1
MH-0123
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
16TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 2
Bench Deffect Comments
Channel Condition 2
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF 16TH ST AND MONTEREY BLVD
4/10/2017
U-1209-6134
1:37PM MACP LEVEL -1
MH-0123A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
16TH ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
CHIMNEY AND CONE ARE OFFSET
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
END OF LOMA DR ABOVE 16TH ST
4/10/2017
U-1209-6134
2:26PM MACP LEVEL -1
MH-0124
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LOMA DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON LOMA DR JUST ABOVE OAK ST
4/10/2017
U-1209-6134
2:33PM MACP LEVEL -1
MH-0125
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LOMA DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON BAYVIEW DR JUST BELOW 19TH ST
4/10/2017
U-1209-6134
12:01PM MACP LEVEL -1
MH-0126
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
BAYVIEW DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 5
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THER METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON BAYVIEW DR BETWEEN 19TH AND 16TH ST
4/10/2017
U-1209-6134
1:21PM MACP LEVEL -1
MH-0126A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
BAYVIEW DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF 19TH ST AND BAYVIEW DR
4/10/2017
U-1209-6134
11:55AM MACP LEVEL -1
MH-0127
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
19TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 3
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
WHERE BAYVIEW DR AND CIRCLE DR MEET
4/5/2017
U-1209-6134
10:42AM MACP LEVEL -1
MH-0128
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
BAYVIEW DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF BAYVIEW DR AND 19TH ST
4/10/2017
U-1209-6134
11:59AM MACP LEVEL -1
MH-0129
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
19TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF 19TH AND LOMA DR
4/10/2017
U-1209-6134
11:21AM MACP LEVEL -1
MH-0130
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
19TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON LOMA DR FIRST MH ABOVE 19TH ST
4/10/2017
U-1209-6134
11:28AM MACP LEVEL -1
MH-0131
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LOMA DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code Y
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 4
General Comments MH IS LOCATED ON DRIVEWAY
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE ITS METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON LOMA DR BETWEEN 19TH ST AND PARK AVE
4/10/2017
U-1209-6134
11:33AM MACP LEVEL -1
MH-0132X
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LOMA DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE ITS METAL WITH A PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON LOMA DR BELOW 19TH ST
4/10/2017
U-1209-6134
11:18AM MACP LEVEL -1
MH-133X
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LOMA DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON BAYVIEW DR BETWEEN 16TH ST AND PIER AVE
4/11/2017
U-1209-6134
9:36AM MACP LEVEL -1
MH-0134
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
BAYVIEW DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 2
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORROSION
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA AVE
MANHOLE CONDITION ASSESSMENT FORM
PIER AVE AND MANHATTAN AVE
5/31/2017
U-1209-6134
3:16AM MACP LEVEL -1
MH-0141
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PIER AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
3:22AM MACP LEVEL -1
MH-0141A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MANHATTAN AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON PIER AVE AND BAYVIEW DR
4/17/2017
U-1209-6134
8:28AM MACP LEVEL -1
MH-0142
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PIER AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON PIER AVE AND BAYVIEW DR
4/17/2017
U-1209-6134
8:31AM MACP LEVEL -1
MH-0142A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PIER AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH A PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MIDDLE OF BAYVIEW DR BETWEEN PIER AVE AND 10TH ST
4/17/2017
U-1209-6134
8:23AM MACP LEVEL -1
MH-0143X
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
BAYVIEW DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 7
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/25/2017
U-1209-6134
6:45PM MACP LEVEL -1
MH-0152
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MONTEREY BLVD A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH A PLATIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 6
General Comments MH IS LINED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MONTEREY BLVD AND 6TH ST
5/30/2017
U-1209-6134
4:08AM MACP LEVEL -1
MH-0153
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MONTEREY BLVD A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 5
General Comments I BELIEVE THERE METAL WITH A PLASTIC COATING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MONTEREY BLVD AND 6TH
5/30/2017
U-1209-6134
4:11AM MACP LEVEL -1
MH-0153B
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MONTEREY BLVD A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 4
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
3:46AM MACP LEVEL -1
MH-0153C
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MONTEREY BLVD A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 3
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
AND 8TH ST
5/30/2017
U-1209-6134
4:03AM MACP LEVEL -1
MH-0154
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MONTEREY BLVD A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 6
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH A PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
3:52AM MACP LEVEL -1
MH-0154A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MONTEREY BLVD A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 7
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
3:57AM MACP LEVEL -1
MH-0155
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MONTEREY BLVD A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 6
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
4:05AM MACP LEVEL -1
MH-0156
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MONTEREY BLVD A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 5
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF LOMA AND SUNSET DR
4/12/2017
U-1209-6134
8:11AM MACP LEVEL -1
MH-0157
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LOMA DR A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
MH IS LINED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH A PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 8
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MIDDLE OF LOMA DR BETWEEN 8TH AND 6TH ST
4/12/2017
U-1209-6134
8:16AM MACP LEVEL -1
MH-0158
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LOMA DR A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
MH IS LINED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 4
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON LOMA DR JUST ABOVE 8TH ST
4/12/2017
U-1209-6134
7:17AM MACP LEVEL -1
MH-0159
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LOMA DR A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
MH IS LINED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 5
General Comments MH IS LINED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE ITS METAL WITH A PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON LOMA DR JUST BELOW 11STH ST
4/11/2017
U-1209-6134
7:46AM MACP LEVEL -1
MH-0160
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LOMA DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 4
General Comments MH IS LINED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
LOMA DR JUST BELOW 11TH ST
4/11/2017
U-1209-6134
7:50AM MACP LEVEL -1
MH-0160A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LOMA DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 4
General Comments MH IS LINED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON LOMA DR JUST BELOW 10TH ST
4/11/2017
U-1209-6134
7:56AM MACP LEVEL -1
MH-0160B
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LOMA DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 4
General Comments MH IS LINED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON LOMA DR JUST BELOW 6TH ST
4/12/2017
U-1209-6134
8:06AM MACP LEVEL -1
MH-0161
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LOMA DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE ITS METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON PALM BETWEEN 21ST ST AND 19TH ST
4/11/2017
U-1209-6134
9:23AM MACP LEVEL -1
MH-0163B
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PALM DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code A
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF HERMOSA AVE AND HERONDO ST
5/1/2017
U-1209-6134
1:21PM MACP LEVEL -1
MH-0170
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
HERMOSA AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON HERONDO ST ON SIDEWALK JUST BELOW PALM DR BEFORE
HERMOSA AVE
4/12/2017
U-1209-6134
12:40PM MACP LEVEL -1
MH-0172
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
HERONDO ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 4
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
WHERE PALM DR AND 1ST CT MEET
4/12/2017
U-1209-6134
12:44PM MACP LEVEL -1
MH-0173
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PALM DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 1ST CT NEAR MONTEREY BLVD
4/12/2017
U-1209-6134
12:56PM MACP LEVEL -1
MH-0174
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
1ST CT A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 4
1 Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments PIPE RUNNING THROUGH MH
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON PALM DR JUST BEFORE 1ST ST
4/12/2017
U-1209-6134
1:101PM MACP LEVEL -1
MH-0175
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PALM DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON HERONDO ST JUST AFTER MONTEREY BLVD
4/12/2017
U-1209-6134
12:34PM MACP LEVEL -1
MH-0176
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
HERONDO ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/25/2017
U-1209-6134
6:18PM MACP LEVEL -1
MH-0201
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED 1 MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 1ST ST BEFORE ARDMORE AVE
4/14/2017
U-1209-6134
1:03PM MACP LEVEL -1
MH-0202
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
1ST ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 1ST ST WEST OF PCH
4/14/2017
U-1209-6134
12:59PM MACP LEVEL -1
MH-0203
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
1ST ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code A
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACKS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED AND MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF PCH AND 1ST ST
5/17/2017
U-1209-6134
10:22AM MACP LEVEL -1
MH-0204
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 4
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 1ST ST THE FIRST MH WEST OF PCH
4/14/2017
U-1209-6134
12:54PM MACP LEVEL -1
MH-0204A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
1ST ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code A
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED AND MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
WHERE PCH AND 1ST ST MEET
5/17/2017
U-1209-6134
10:29AM MACP LEVEL -1
MH-0205
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORROSION MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
2:53AM MACP LEVEL -1
MH-0206
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 2ND ST FIRST MH EAST OF PCH
4/13/2017
U-1209-6134
11:08AM MACP LEVEL -1
MH-0207
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
2ND ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 2ND ST IT’S THE SECOND MH EAST OF PCH
4/13/2017
U-1209-6134
11:02AM MACP LEVEL -1
MH-0208
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
2ND ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MIDDLE OF 2ND ST BETWEEN PROSPECT AND PCH
4/13/2017
U-1209-6134
10:55AM MACP LEVEL -1
MH-0209
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
2N ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
2 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3RD MH GOING WEST FROM PROSPECT AVE
4/13/2017
U-1209-6134
10:52AM MACP LEVEL -1
MH-0210
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
2ND ST A.SOUZA
Chimney Condition
MISSING BRICK
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 2ND ST SECOND MH WEST OF PROSPECT AVE
4/13/2017
U-1209-6134
10:09AM MACP LEVEL -1
MH-0211
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
2ND ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 3
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 2ND ST JUST BEFORE PROSPECT AVE
4/13/2017
U-1209-6134
10:05AM MACP LEVEL -1
MH-0212
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
2ND ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
TROUGH FILLED WITH DIRT POSSIBLY BECAUSE ITS NO LONGER USED OR CAPPED OFF
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
CORNER OF 1ST PL AND BARNEY CT
4/13/2017
U-1209-6134
11:36AM MACP LEVEL -1
MH-0213
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
1ST PL A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
CORNER OF 1ST ST AND BARNEY CT
4/13/2017
U-1209-6134
1:26PM MACP LEVEL -1
MH-0214
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
1ST ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 1ST ST BETWEEN BARNEY CT AND PROSPECT AVE
4/13/2017
U-1209-6134
1:31PM MACP LEVEL -1
MH-0215
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
1ST ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 2
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
WHERE 1ST ST AND PROSPECT AVE MEET
4/13/2017
U-1209-6134
1:37PM MACP LEVEL -1
MH-0216
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
1ST ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
FLOWING ONTO BENCH
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED AND ONE IS MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MIDDLE OF 1ST PL BETWEEN BARNEY CT AND PROSPECT AVE
4/13/2017
U-1209-6134
11:29AM MACP LEVEL -1
MH-0217
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
1ST PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 1ST PL BEFORE PROSPECT AVE
4/13/2017
U-1209-6134
11:24PM MACP LEVEL -1
MH-0218
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
1ST PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 3
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
NO CHANNEL
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
2:57AM MACP LEVEL -1
MH-0219
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code D
Inspection Status SI
Access Type: AMH
Surface Type: 4
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 4
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MIDDLE OF 1ST ST BETWEEN PCH AND MEYER CT
4/13/2017
U-1209-6134
1:51PM MACP LEVEL -1
MH-0220
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
1ST ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments SURFACE IS ASPHALT AND CONCRETE
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
WHERE MEYER CT AND 1ST ST MEET
4/13/2017
U-1209-6134
1:19PM MACP LEVEL -1
MH-0221
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MEYER CT A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 4
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MEYER CT JUST BELOW 1ST ST
4/14/2017
U-1209-6134
1:27PM MACP LEVEL -1
MH-0222
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MEYER CT A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/25/2017
U-1209-6134
6:26PM MACP LEVEL -1
MH-0223
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code D
Inspection Status SI
Access Type: AMH
Surface Type: 4
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 1ST PL BEFORE PROSPECT AVE
4/14/2017
U-1209-6134
12:49PM MACP LEVEL -1
MH-0224
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
1ST PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ARDMORE AVE JUST BELOW 2ND ST
4/14/2017
U-1209-6134
1:10PM MACP LEVEL -1
MH-0225
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
HOLE
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN