Agenda packet, regular meeting — Hermosa Beach City Council, July 22, 2025 (part 14 of 23)

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 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 3
# of Steps 2
General Comments

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
5/25/2017
U-1209-6134
5:09PM MACP LEVEL -1
MH-0231

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
2ND ST A.SOUZA

Page 2222 of 3438 ends

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

CORROSION

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

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
5:03PM MACP LEVEL -1
MH-0232

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
2ND ST A.SOUZA

Page 2223 of 3438 ends

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 3
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

NO CONE

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

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 HILL ST ON SIDEWALK
4/14/2017
U-1209-6134
1:18PM MACP LEVEL -1
MH-0232A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HILL ST A.SOUZA

Page 2224 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

CORROSION

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

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
4:57PM MACP LEVEL -1
MH-0233

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
2ND ST A.SOUZA

Page 2225 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

MANHOLE CONDITION ASSESSMENT FORM
5/25/2017
U-1209-6134
4:52PM MACP LEVEL -1
MH-0234

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

CORROSION

1.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2226 of 3438 ends

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 1
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 2
# of Steps 1
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/25/2017
U-1209-6134
4:46PM MACP LEVEL -1
MH-0235

ROUTINE ASSESSMENT N/A

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

CORROSION

1.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

EROSION

Page 2227 of 3438 ends

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
3 Chimney O&M Comments
Cone: Condition 3
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

NO CONE

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

END OF CULDISAC ON HILL ST ON SIDEWALK
4/14/2017
U-1209-6134
1:15PM MACP LEVEL -1
MH-0236

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HILL ST A.SOUZA

Page 2228 of 3438 ends

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 4
1 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

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
AT THE END OF 3RD ST ON CULDISAC BETWEEN VALLEY DR
4/14/2017
U-1209-6134
9:58AM MACP LEVEL -1
MH-0241

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
3RD ST A.SOUZA

Page 2229 of 3438 ends

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.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

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 3RD ST WEST OF ARDMORE AVE
4/14/2017
U-1209-6134
9:25AM MACP LEVEL -1
MH-0242

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
3RD ST A.SOUZA

Page 2230 of 3438 ends

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 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 1
General Comments

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

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 3RD ST WHERE 3RD MEETS ARDMORE AVE
4/14/2017
U-1209-6134
9:21AM MACP LEVEL -1
MH-0243

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
3RD ST A.SOUZA

Page 2231 of 3438 ends

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.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

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 ARDMORE AVE AND 3RD ST
4/14/2017
U-1209-6134
9:31AM MACP LEVEL -1
MH-0244

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ARDMORE AVE A.SOUZA

Page 2232 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 3RD EAST OF ARDMORE AVE
4/14/2017
U-1209-6134
9:34AM MACP LEVEL -1
MH-0245

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
3RD ST A.SOUZA

Page 2233 of 3438 ends

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
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
ON 3RD ST BETWEEN PCH AND ARDMORE AVE
4/14/2017
U-1209-6134
9:37AM MACP LEVEL -1
MH-0246

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
3RD ST A.SOUZA

Page 2234 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 3RD ST JUST BEFORE PCH
4/14/2017
U-1209-6134
9:41AM MACP LEVEL -1
MH-0247

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
3RD ST A.SOUZA

Page 2235 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

MANHOLE CONDITION ASSESSMENT FORM
5/25/2017
U-1209-6134
2:56PM MACP LEVEL -1
MH-0248

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY 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.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2236 of 3438 ends

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 4
General Comments

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

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 PCH ACROSS FROM 3RD ST
5/17/2017
U-1209-6134
10:50AM MACP LEVEL -1
MH-0249

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2237 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 PCH AND 4TH ST
5/17/2017
U-1209-6134
10:55AM MACP LEVEL -1
MH-0250

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2238 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 PCH AND 5TH ST
5/17/2017
U-1209-6134
11:07AM MACP LEVEL -1
MH-0251

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2239 of 3438 ends

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: 3
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
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/25/2017
U-1209-6134
4:35PM MACP LEVEL -1
MH-0252

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
5TH 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

CORROSION

1.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2240 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
5TH ST AND PINE ST
4/14/2017
U-1209-6134
7:56AM MACP LEVEL -1
MH-0253

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
5TH ST A.SOUZA

Page 2241 of 3438 ends

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 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

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

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
5TH ST AND HOPKINS AVE
4/14/2017
U-1209-6134
7:50AM MACP LEVEL -1
MH-0254

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
5TH ST A.SOUZA

Page 2242 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
5TH AND HOPKINS AVE
4/14/2017
U-1209-6134
8:04AM MACP LEVEL -1
MH-0255

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
5TH ST A.SOUZA

Page 2243 of 3438 ends

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
2 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

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

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
PROSPECT AVE AND 5TH ST
4/13/2017
U-1209-6134
8:51AM MACP LEVEL -1
MH-0256

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PROSPECT AVE A.SOUZA

Page 2244 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 PROPECT AVE AND 6TH ST
5/17/2017
U-1209-6134
9:30AM MACP LEVEL -1
MH-0257

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PROSPECT AVE A.SOUZA

Page 2245 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 6TH ST JUST PAST GENTRY ST
4/12/2017
U-1209-6134
2:17PM MACP LEVEL -1
MH-0258

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
6TH ST A.SOUZA

Page 2246 of 3438 ends

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 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

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

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
PROSPECT AVE AND 4TH ST
4/13/2017
U-1209-6134
8:48AM MACP LEVEL -1
MH-0259

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PROSPECT AVE A.SOUZA

Page 2247 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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

PROSPECT AVE AND GENTRY ST
4/13/2017
U-1209-6134
8:36AM MACP LEVEL -1
MH-0260

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PROSPECT AVE A.SOUZA

Page 2248 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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

PROSPECT AVE AND HOLLOWELL AVE
4/13/2017
U-1209-6134
8:12AM MACP LEVEL -1
MH-0261

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PROSPECT AVE A.SOUZA

Page 2249 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 PROSPECT AVE AND HOLLOWELL AVE MEET
4/13/2017
U-1209-6134
8:08AM MACP LEVEL -1
MH-0262

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PROSPECT AVE A.SOUZA

Page 2250 of 3438 ends

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 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

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

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

PROSPECT AVE AND MASSEY ST
4/13/2017
U-1209-6134
8:18AM MACP LEVEL -1
MH-0263

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PROSPECT AVE A.SOUZA

Page 2251 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 MASSEY ST BETWEEN PROSPECT AVE AND 5TH ST
4/13/2017
U-1209-6134
8:22AM MACP LEVEL -1
MH-0265

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
MASSEY ST A.SOUZA

Page 2252 of 3438 ends

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 1
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

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

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 MASSEY AND 5TH ST
4/13/2017
U-1209-6134
8:26AM MACP LEVEL -1
MH-0266

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
5TH ST A.SOUZA

Page 2253 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
HOLLOWELL AVE AND 3RD ST
4/13/2017
U-1209-6134
9:31AM MACP LEVEL -1
MH-0268

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HOLLOWELL AVE A.SOUZA

Page 2254 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 GENTRY ST BETWEEN PROSPECT AVE AND 6TH ST
4/13/2017
U-1209-6134
8:42AM MACP LEVEL -1
MH-0269

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
GENTRY ST A.SOUZA

Page 2255 of 3438 ends

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 3
General Comments

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

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
5TH ST EAST OF HOPKINS AVE
4/14/2017
U-1209-6134
7:45AM MACP LEVEL -1
MH-0270

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
5TH ST A.SOUZA

Page 2256 of 3438 ends

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 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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS

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

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
HOPKINS AND 4TH ST
4/14/2017
U-1209-6134
8:11AM MACP LEVEL -1
MH-0272

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HOPKINS AVE A.SOUZA

Page 2257 of 3438 ends

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
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 2
# of Steps 1
General Comments

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

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 HOPKINS AVE BETWEEN 3RD ST AND 4TH ST
4/14/2017
U-1209-6134
8:19AM MACP LEVEL -1
MH-0274

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HOPKINS AVE A.SOUZA

Page 2258 of 3438 ends

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 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 3
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

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 OCEAN VIEW AVE AND 4TH ST MEET
4/13/2017
U-1209-6134
2:05PM MACP LEVEL -1
MH-0275

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
OCEAN VIEW AVE A.SOUZA

Page 2259 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
4/13/2017
U-1209-6134
2:02PM MACP LEVEL -1
MH-0276

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
A.SOUZA

Page 2260 of 3438 ends

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 4
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.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

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
OCEAN VIEW AVE JUST BEFORE 5TH ST
4/13/2017
U-1209-6134
2:09PM MACP LEVEL -1
MH-0277

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
OCEAN VIEW AVE A.SOUZA

Page 2261 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 PCH AND 3RD ST
5/17/2017
U-1209-6134
10:44AM MACP LEVEL -1
MH-0278

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2262 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 3RD ST FIRST MH GOING EAST FROM PCH
4/13/2017
U-1209-6134
10:42AM MACP LEVEL -1
MH-0279

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
3RD ST A.SOUZA

Page 2263 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 3RD ST JUST BEFORE HOPKINS AVE
4/13/2017
U-1209-6134
10:36AM MACP LEVEL -1
MH-0280

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
3RD ST A.SOUZA

Page 2264 of 3438 ends

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
2 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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS

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

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 3RD ST JUST BEFORE GENTRY ST
4/13/2017
U-1209-6134
9:46AM MACP LEVEL -1
MH-0281

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
3RD ST A.SOUZA

Page 2265 of 3438 ends

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 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 2
# of Steps 2
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS

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

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 3RD ST AND GENTRY ST MEET
4/13/2017
U-1209-6134
9:42AM MACP LEVEL -1
MH-0282

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
3RD ST A.SOUZA

Page 2266 of 3438 ends

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 1
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

FRACTURE

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

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 3RD ST AND HOLLOWELL MEET
4/13/2017
U-1209-6134
9:51AM MACP LEVEL -1
MH-0283

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
3RD ST A.SOUZA

Page 2267 of 3438 ends

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
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 1
General Comments

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

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
PROSPECT AVE AND 3RD ST
4/13/2017
U-1209-6134
9:56AM MACP LEVEL -1
MH-0284

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PROSPECT AVE A.SOUZA

Page 2268 of 3438 ends

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
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

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

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
PROSPECT AVE JUST ABOVE 2ND ST
4/13/2017
U-1209-6134
10:00AM MACP LEVEL -1
MH-0285

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PROSPECT AVE A.SOUZA

Page 2269 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
11:17AM MACP LEVEL -1
MH-0285A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
A.SOUZA
Chimney Condition

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.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2270 of 3438 ends

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
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

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

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 GENTRY RIGHT BEFORE PROSPECT AVE
4/13/2017
U-1209-6134
9:37AM MACP LEVEL -1
MH-0286

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
GENTRY ST A.SOUZA

Page 2271 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
2:46PM MACP LEVEL -1
MH-0287

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2272 of 3438 ends

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: C
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.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

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
2:37PM MACP LEVEL -1
MH-0288

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2273 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
2:30PM MACP LEVEL -1
MH-0289

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2274 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
PCH AND 6TH ST
5/17/2017
U-1209-6134
11:14AM MACP LEVEL -1
MH-0290

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2275 of 3438 ends

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 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 1
General Comments

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

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 GRAVELY CT BELOW 6TH ST
4/14/2017
U-1209-6134
7:26AM MACP LEVEL -1
MH-0291

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
GRAVELY CT A.SOUZA

Page 2276 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

EROSION

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

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
5:22PM MACP LEVEL -1
MH-0295

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ARDMORE AVE A.SOUZA

Page 2277 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

CORROSION

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

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
5:33PM MACP LEVEL -1
MH-0296

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ARDMORE AVE A.SOUZA

Page 2278 of 3438 ends

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
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

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

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 4TH ST FIRST MH EAST OF ARDMORE AVE
4/14/2017
U-1209-6134
10:07AM MACP LEVEL -1
MH-0296A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
4TH ST A.SOUZA

Page 2279 of 3438 ends

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 2
General Comments

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

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
5:37PM MACP LEVEL -1
MH-0297

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ARDMORE AVE A.SOUZA

Page 2280 of 3438 ends

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

CORROSION

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

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
1:05PM MACP LEVEL -1
MH-0298

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ARDMORE AVE A.SOUZA

Page 2281 of 3438 ends

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 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

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

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
FIRST MH ON 5TH ST EAST OF ARDMORE AVE
4/14/2017
U-1209-6134
10:30AM MACP LEVEL -1
MH-0299

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
5TH ST A.SOUZA

Page 2282 of 3438 ends

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 2
# of Steps 1
General Comments

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

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 A DRIVEWAY ON 5TH ST BETWEEN ARDMORE AND PCH
4/14/2017
U-1209-6134
10:26AM MACP LEVEL -1
MH-0300

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
5TH ST A.SOUZA

Page 2283 of 3438 ends

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
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 2
# of Steps 1
General Comments

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

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
SIDEWALK ON 5TH ST BETWEEN ARDMORE AVE AND PCH
4/14/2017
U-1209-6134
10:21AM MACP LEVEL -1
MH-0301

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
5TH ST A.SOUZA

Page 2284 of 3438 ends

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 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

1.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

CRACKED AND HOLE

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

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
SIDEWALK ON 5TH ST JUST BEFORE PCH
4/14/2017
U-1209-6134
10:18AM MACP LEVEL -1
MH-0302

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
5TH ST A.SOUZA

Page 2285 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 4TH ST BETWEEN ARDMORE AVE AND PCH
4/14/2017
U-1209-6134
10:11AM MACP LEVEL -1
MH-0303

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
4TH ST A.SOUZA

Page 2286 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 4TH ST JUST BEFORE PCH
4/14/2017
U-1209-6134
10:13AM MACP LEVEL -1
MH-0304

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
4TH ST A.SOUZA

Page 2287 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
3:34AM MACP LEVEL -1
MH-0311

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
VALLEY DR A.SOUZA

Page 2288 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 CYPRESS BELOW 6TH ST NEXT TO SOUTH PARK
4/12/2017
U-1209-6134
7:50AM MACP LEVEL -1
MH-0312

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
CYPRESS AVE A.SOUZA

Page 2289 of 3438 ends

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: 1
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 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.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

BENCH COMPLETELY COVERED

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

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 CYPRESS AVE AND 6TH ST
4/12/2017
U-1209-6134
7:55AM MACP LEVEL -1
MH-0313

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
CYPRESS AVE A.SOUZA

Page 2290 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 6TH ST NEAR VALLEY DR
4/12/2017
U-1209-6134
7:59AM MACP LEVEL -1
MH-0316

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
6TH ST A.SOUZA

Page 2291 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
11:37PM MACP LEVEL -1
MH-0320

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
BAYVIEW DR A.SOUZA

Page 2292 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 PCH
4/6/2017
U-1209-6134
10:24AM MACP LEVEL -1
MH-0321

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
24TH ST A.SOUZA

Page 2293 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 PCH
4/6/2017
U-1209-6134
10:47AM MACP LEVEL -1
MH-0322

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
20TH PL A.SOUZA

Page 2294 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 PCH
4/6/2017
U-1209-6134
10:52AM MACP LEVEL -1
MH-0323

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
20TH ST A.SOUZA

Page 2295 of 3438 ends

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 2
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

CORRODED

1.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

ERODED PARTS OF TROUGH 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

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 HARPER AVE AND 19TH ST MEET
4/7/2017
U-1209-6134
7:27AM MACP LEVEL -1
MH-0324

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HARPER AVE A.SOUZA

Page 2296 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
HARPER AVE JUST BELOW 19TH ST
4/7/2017
U-1209-6134
7:35AM MACP LEVEL -1
MH-0324A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HARPER AVE A.SOUZA

Page 2297 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
2ND MH BELOW 19TH ST ON HARPER AVE
4/7/2017
U-1209-6134
7:39AM MACP LEVEL -1
MH-0324B

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HARPER AVE A.SOUZA

Page 2298 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 HARPER AVE NEAR ORMOND LN
4/7/2017
U-1209-6134
7:44AM MACP LEVEL -1
MH-0324C

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HARPER AVE A.SOUZA

Page 2299 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 HARPER AVE JUST ABOVE ORMOND LN
4/7/2017
U-1209-6134
7:48AM MACP LEVEL -1
MH-0324D

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HARPER AVE A.SOUZA

Page 2300 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 17TH ST JUST PAST GOLDEN ST
4/7/2017
U-1209-6134
8:05AM MACP LEVEL -1
MH-0324E

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
17TH ST A.SOUZA

Page 2301 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 17TH ST JUST PAST GOLDEN ST
4/7/2017
U-1209-6134
8:08AM MACP LEVEL -1
MH-0324F

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
17TH ST A.SOUZA

Page 2302 of 3438 ends

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 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
ROOTS

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

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 19TH ST BETWEEN HARPER AVE AND PROSPECT AVE
4/7/2017
U-1209-6134
7:21AM MACP LEVEL -1
MH-0325

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
19TH ST A.SOUZA

Page 2303 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 19TH ST BEFORE PROSPECT AVE
4/7/2017
U-1209-6134
7:16AM MACP LEVEL -1
MH-0326

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
19TH ST A.SOUZA

Page 2304 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

MANHOLE CONDITION ASSESSMENT FORM

NEAR PCH
4/6/2017
U-1209-6134
10:58AM MACP LEVEL -1
MH-0327

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
20TH 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.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2305 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 20TH ST NEAR PROSPECT AVE
4/10/2017
U-1209-6134
10:03AM MACP LEVEL -1
MH-0328

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
20TH ST A.SOUZA

Page 2306 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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:: INGLEWOOD

MANHOLE CONDITION ASSESSMENT FORM

JUST ABOVE PROSPECT AVE
4/6/2017
U-1209-6134
10:40AM MACP LEVEL -1
MH-0329

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
20TH PL A.SOUZA

Page 2307 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

MANHOLE CONDITION ASSESSMENT FORM

JUST ABOVE PROSPECT AVE
4/6/2017
U-1209-6134
10:19AM MACP LEVEL -1
MH-0330

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
24TH 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.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2308 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

CORROSION

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

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
12:38PM MACP LEVEL -1
MH-0501

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
MONTEREY BLVD A.SOUZA

Page 2309 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 20TH AND POWER ST
4/3/2017
U-1209-6134
12:14PM MACP LEVEL -1
MH-0504

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
20TH ST A.SOUZA

Page 2310 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 20TH AND POWER ST
4/3/2017
U-1209-6134
12:18PM MACP LEVEL -1
MH-0504A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
20TH ST A.SOUZA

Page 2311 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

MANHOLE CONDITION ASSESSMENT FORM
ON POWER ST JUST BELOW 20TH ST
4/3/2017
U-1209-6134
12:28PM MACP LEVEL -1
MH-0504B

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
POWER 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 LOT (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

I BELIEVE THERE METAL WITH PLASTIC COATING

1.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2312 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
SMALL SIDE ROAD JUST BELOW 20TH ST
4/3/2017
U-1209-6134
12:40PM MACP LEVEL -1
MH-0504C

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
POWER ST A.SOUZA

Page 2313 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 POWER AND 21ST S
4/3/2017
U-1209-6134
11:57AM MACP LEVEL -1
MH-0505

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
POWER ST A.SOUZA

Page 2314 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 21ST ST SOUTH WEST OF POWER ST
4/3/2017
U-1209-6134
12:03PM MACP LEVEL -1
MH-050A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
21ST ST A.SOUZA
505A

Page 2315 of 3438 ends

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: 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 3
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

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

HALF ON STREET AND DRIVEWAY
3/23/2017
U-1209-6134
12:29PM MACP LEVEL -1
MH-0506

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
POWER ST A.SOUZA

Page 2316 of 3438 ends

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 2
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 24TH ST AND POWER ST
3/23/2017
U-1209-6134
12:23PM MACP LEVEL -1
MH-0507

ROUTINE ASSESSMENT N/A

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.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS

LOOKS ERODED

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

LOOKS ERODED

Page 2317 of 3438 ends

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 2
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

MISSING

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) 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

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
2:12PM MACP LEVEL -1
MH-0508

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
24TH PL A.SOUZA

Page 2318 of 3438 ends

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: 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 FRAME SLIGHTLY OFFSET

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) 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

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 HOME OWNERS DRIVEWAY
3/23/2017
U-1209-6134
2:39PM MACP LEVEL -1
MH-0509

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
25TH ST A.SOUZA

Page 2319 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

MANHOLE CONDITION ASSESSMENT FORM

SIDEWALK BETWEEN TWO DRIVEWAYS
3/23/2017
U-1209-6134
2:48PM MACP LEVEL -1
MH-0510

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.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2320 of 3438 ends

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: 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 3
# of Steps 9
General Comments

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

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

EDGE OF VALLEY PARK
3/23/2017
U-1209-6134
8:23AM MACP LEVEL -1
MH-0512

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
VALLEY PARK A.SOUZA

Page 2321 of 3438 ends

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
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 10
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM

EDGE OF VALLEY PARK
3/23/2017
U-1209-6134
8:27AM MACP LEVEL -1
MH-0512A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
VALLEY PARK 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

FRAME SLIGHTLY OFF SET

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

Page 2322 of 3438 ends

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
2 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 2
# of Steps 1
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM

NEAR BENCHES AND BBQ PITS AT VALLEY PARK
3/23/2017
U-1209-6134
8:17AM MACP LEVEL -1
MH-0513

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
VALLEY PARK A.SOUZA
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 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

1.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED

Page 2323 of 3438 ends

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
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 2
# of Steps 3
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM

EDGE OF VALLEY PARK
3/23/2017
U-1209-6134
8:07AM MACP LEVEL -1
MH-0514

ROUTINE ASSESSMENT N/A

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

CORRODED MISSING

1.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED

Page 2324 of 3438 ends

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
2 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 2
# of Steps 2
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM

EDGE OF VALLEY PARK
3/23/2017
U-1209-6134
7:43AM MACP LEVEL -1
MH-0515

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
VALLEY PARK A.SOUZA
Chimney Condition

SMALL ROOTS AND 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 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

CORRODED MISSING

1.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED

Page 2325 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
29TH CT AND INGLESIDE DR
3/22/2017
U-1209-6134
10:14AM MACP LEVEL -1
MHROUTINE ASSESSMENT N/A

HERMOSA BEACH
29TH CT A.SOUZA
0517

Page 2326 of 3438 ends

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
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

STEP IS CORRODED

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

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 INGLESIDE DR AND 29TH ST
3/21/2017
U-1209-6134
12:27PM MACP LEVEL -1
MH-0518

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
INGLESIDE DR A.SOUZA

Page 2327 of 3438 ends

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 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

I BELIEVE ITS METAL WITH 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) 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

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 INGLESIDE DR AND 30TH ST
3/21/2017
U-1209-6134
12:34PM MACP LEVEL -1
MH-0519

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
INGLESIDE DR A.SOUZA

Page 2328 of 3438 ends

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
2 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 1
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS

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

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 INGLESIDE DR AND 31ST ST
3/21/2017
U-1209-6134
12:44PM MACP LEVEL -1
MH-0520

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
INGLESIDE DR A.SOUZA

Page 2329 of 3438 ends

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

I BELIEVE IT 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

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 MORNINGSIDE AND 31ST ST
3/21/2017
U-1209-6134
11:13AM MACP LEVEL -1
MH-0521A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
MORNINGSIDE DR A.SOUZA

Page 2330 of 3438 ends

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
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

I BELIEVE THER 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

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 MORNINGSIDE DR AND 30TH ST
3/21/2017
U-1209-6134
12:12 MACP LEVEL -1
MH-0522A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
MORNINGSIDE DR A.SOUZA

Page 2331 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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 MORNINGSIDE DR AND 29TH ST
3/22/2017
U-1209-6134
9:31AM MACP LEVEL -1
MH-0523

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
MORNINGSIDE DR A.SOUZA

Page 2332 of 3438 ends

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
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.BRICK 2.METAL 3.PLASTIC 4.OTHER

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

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
9:39AM MACP LEVEL -1
MH-0524

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
29TH ST A.SOUZA

Page 2333 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
10:22AM MACP LEVEL -1
MH-0526

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
29TH CT A.SOUZA

Page 2334 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
10:28AM MACP LEVEL -1
MH-0526A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
29TH CT A.SOUZA

Page 2335 of 3438 ends

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 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
3/22/2017
U-1209-6134
10:42AM MACP LEVEL -1
MH-0527

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

CORRODED

1.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2336 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

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

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
29TH CT AND MORNINGSIDE DR
3/22/2017
U-1209-6134
10:49AM MACP LEVEL -1
MHROUTINE ASSESSMENT N/A

HERMOSA BEACH
29TH CT A.SOUZA
0528

Page 2337 of 3438 ends

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 NA
# of Steps 0
General Comments

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

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
11:08AM MACP LEVEL -1
MH-0529

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
29TH CT A.SOUZA

Page 2338 of 3438 ends

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: 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 NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
END OF 28TH CT
3/22/2017
U-1209-6134
1:19PM MACP LEVEL -1
MH-0530

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
28TH CT A.SOUZA
Chimney Condition

APPEARS TO HAVE A LINER
(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

APPEARS TO HAVE A LINER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

APPEARS TO HAVE A LINER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2339 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

MANHOLE CONDITION ASSESSMENT FORM
MORNINGSIDE DR AND 28TH CT
3/22/2017
U-1209-6134
1:11PM MACP LEVEL -1
MH-0531

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
28TH 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.BRICK 2.METAL 3.PLASTIC 4.OTHER

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2340 of 3438 ends

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.BRICK 2.METAL 3.PLASTIC 4.OTHER

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

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
1:29PM MACP LEVEL -1
MH-0532

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
28TH CT A.SOUZA

Page 2341 of 3438 ends

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
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.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

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

EDGE OF VALLEY PARK NEAR WALK WAY
3/23/2017
U-1209-6134
7:26AM MACP LEVEL -1
MH-0533

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
VALLEY PARK A.SOUZA

Page 2342 of 3438 ends

Hermosa Beach City CouncilJuly 22, 2025

Hermosa Beach City Council
July 22, 2025