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: 3
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 2
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
NEXT TO PARK IN GRASS
3/22/2017
U-1209-6134
2:37PM MACP LEVEL -1
MH-0534
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MORNINGSIDE DR A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACK
DETERIORATING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
DETERIORATING
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F) SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N) LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
3/22/2017
U-1209-6134
2:20PM MACP LEVEL -1
MH-0535
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
27TH CT A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code 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 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 4
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
CORNER OF PARK BY GOULD AVE AND VALLEY DR
3/23/2017
U-1209-6134
7:58AM MACP LEVEL -1
MH-0537
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
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF ARDMORE AVE AND GOULD AVE
5/16/2017
U-1209-6134
1:12PM MACP LEVEL -1
MH-0538
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF ARDMORE AVE AND GOULD AVE
5/16/2017
U-1209-6134
1:17PM MACP LEVEL -1
MH-0539
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code 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 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
LIGHT 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
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
LIGHT 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
SIDEWALK ON GOULD AVE BEFORE ARDMORE AVE
3/24/2017
U-1209-6134
4:22AM MACP LEVEL -1
MH-0540
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
GOULD AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code D
Inspection Status SI
Access Type: AMH
Surface Type: 5
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments SURFACE IS PLANTS AND TREES
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
NEAR SIDEWALK ON GOULD AVE BEFORE ARDMORE AVE
3/24/2017
U-1209-6134
4:08AM MACP LEVEL -1
MH-0541
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
GOULD AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code E
Inspection Status SI
Access Type: AMH
Surface Type: 4
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
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
NEAR SIDEWALK IN GRASS ON GOULD AVE JUST BEFORE ARDMORE AVE 3/24/2017
U-1209-6134
4:01PM MACP LEVEL -1
MH-0542
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
GOULD AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code 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.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
AT GOULD AVE AND EL OESTE DR
3/24/2017
U-1209-6134
3:42PM MACP LEVEL -1
MH-0543
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
GOULD AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code A
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON GOULD AVE BETWEEN EL OESTE DR AND PCH AT THE END OF THE ALLEY
5/2/2017
U-1209-6134
1:25PM MACP LEVEL -1
MH-0544
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
GOULD AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code A
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring 1
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 4
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON GOULD AVE FIRST MH WEST OF PCH
5/2/2017
U-1209-6134
1:17PM MACP LEVEL -1
MH-0544A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
GOULD AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code H
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 5
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
IN ALLEY BETWEEN PCH AND EL OESTE DR NEAR PARKING STRUCTURE 3/24/2017
U-1209-6134
3:09PM MACP LEVEL -1
MH-0545
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ALLEY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code H
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 5
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ALLEY BETWEEN PCH AND EL OESTE DR NEAR ROUND TABLE
3/24/2017
U-1209-6134
2:58PM MACP LEVEL -1
MH-0546
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ALLEY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code H
Inspection Status SI
Access Type: AMH
Surface Type: 5
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 5
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ALLEY BETWEEN PCH AND LA CARLITA ST IN A BUSINESS PARKING AREA 3/24/2017
U-1209-6134
2:41PM MACP LEVEL -1
MH-0547
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ALLEY 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
SURFACE IS ASPHALT AND CONCRETE
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code H
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 4
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ALLEY WERE IT MEETS 30TH ST
3/24/2017
U-1209-6134
2:31PM MACP LEVEL -1
MH-0548
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ALLEY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON LA CARLITA ST JUST BEFORE 30TH ST
3/24/2017
U-1209-6134
2:05PM MACP LEVEL -1
MH-0549
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
LA CARLITA ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 4
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF MARLITA ST AND L A CARLITA ST
3/24/2017
U-1209-6134
2:11PM MACP LEVEL -1
MH-0550
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
MARLITA ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 5
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MIDDLE OF EL OESTE DR
3/24/2017
U-1209-6134
3:17PM MACP LEVEL -1
MH-0551
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
EL OESTE DR A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
TOP OF CULDISAC ON EL OESTE DR
3/24/2017
U-1209-6134
3:23PM MACP LEVEL -1
MH-0552
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
EL OESTE DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code D
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
OFF GOULD AVE AND ARDMORE AVE ON EASMENT BY THE CORNER
5/16/2017
U-1209-6134
1:07PM MACP LEVEL -1
MH-0553
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
GOULD AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
END OF THE STREET ON GOULD TER
3/24/2017
U-1209-6134
3:51PM MACP LEVEL -1
MH-0554
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
GOULD TER A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
END OF THE STREET ON TENNYSON PL
3/24/2017
U-1209-6134
12:49PM MACP LEVEL -1
MH-0561
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
TENNYSON PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MIDDLE OF TENNYSON PL
3/24/2017
U-1209-6134
12:42PM MACP LEVEL -1
MH-0562
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
TENNYSON PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 8
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON TENNYSON PL JUST BELOW 30TH ST
3/24/2017
U-1209-6134
12:32PM MACP LEVEL -1
MH-0563
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
TENNYSON PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 5
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON AMBY PL JUST BELOW BRAEHOLM PL 30TH ST
3/24/2017
U-1209-6134
12:17PM MACP LEVEL -1
MH-0564
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
AMBY PL A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
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 7
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
TOP OF AMBY PL JUST BELOW 30TH ST
3/24/2017
U-1209-6134
12:10PM MACP LEVEL -1
MH-0565
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
AMBY PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 5
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON ARDMORE AVE FIRST MH NORTH OF GOULD AVE
5/16/2017
U-1209-6134
12:57PM MACP LEVEL -1
MH-0566
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 1
General Comments
INNERLINE ENGINEERING CITY OF:: INGLEWOOD
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF ARDMORE AVE AND 30TH ST
5/16/2017
U-1209-6134
11:39AM MACP LEVEL -1
MH-0567
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
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 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ARDMORE AVE JUST BELOW 30TH ST
5/16/2017
U-1209-6134
11:51AM MACP LEVEL -1
MH-0567A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code 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 5
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON HERMOSA VIEW DR 3RD HOUSE DOWN
3/24/2017
U-1209-6134
11:48PM MACP LEVEL -1
MH-0569
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
HERMOSA VIEW DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 5
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
AT THE END OF THE CULDISAC ON HERMOSA VIEW DR
3/24/2017
U-1209-6134
12:00PM MACP LEVEL -1
MH-0570
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
HERMOSA VIEW DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 6
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
OFF OF VALLEY DR IN PARKING LOT OF ROTARY CLUB
5/16/2017
U-1209-6134
2:01PM MACP LEVEL -1
MH-0575
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY DR A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 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 4
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON SIDEWALK OFF VALLEY DR IN FRONT OF ROTARY CLUB
5/16/2017
U-1209-6134
1:55PM MACP LEVEL -1
MH-0576
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code 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 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 4
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
EDGE OF VALLEY PARK NEAR RAIL
3/23/2017
U-1209-6134
8:46AM MACP LEVEL -1
MH-0582
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
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH A PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code 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 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 6
General Comments FRAME IS LOOSE IT MOVES
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
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
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
EDGE OF VALLEY PARK NEAR HOMES
3/23/2017
U-1209-6134
8:37AM MACP LEVEL -1
MH-0582A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY PARK A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED BROKEN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
CORNER OF STREET NEXT TO SIDEWALK
3/23/2017
U-1209-6134
12:00PM MACP LEVEL -1
MH-0584
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
25TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
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 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
NO CHANNEL
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 24TH PL NEAR VALLEY DR
3/23/2017
U-1209-6134
2:31PM MACP LEVEL -1
MH-0589
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
24TH PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
2 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
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 24TH PL JUST BELOW VALLEY DR
3/23/2017
U-1209-6134
2:20PM MACP LEVEL -1
MH-0589A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
24TH PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 24TH ST NEAR POWER ST
3/23/2017
U-1209-6134
12:36PM MACP LEVEL -1
MH-0590
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
24TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code Y
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition NA
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
NO CHANNEL
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON HOME OWNERS PROPERTY ON WALKWAY NEXT TO DRIVEWAY
3/23/2017
U-1209-6134
2:00PM MACP LEVEL -1
MH-0591
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
24TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition NA
NA
Chimney O&M Comments
Cone: Condition NA
Cone O&M Comment
Wall: Condition NA
Wall O&M Comment
Bench: Condition NA
Bench Deffect Comments
Channel Condition NA
Channel Deffect Comments
Steps: Material NA
# of Steps NA
General Comments CANT OPEN MH DUE TO TREE ROOTS AND BRANCHES BLOCKING IT FROM BEING OPENED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
WHERE SIDEWALK ENDS AND MEETS WITH TREE
3/23/2017
U-1209-6134
12:58PM MACP LEVEL -1
MH-0591A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
24TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition NA
Channel Deffect Comments
Steps: Material 2
# of Steps 5
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
NO CHANNEL
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 24TH ST JUST BELOW VALLEY DR
3/23/2017
U-1209-6134
12:15PM MACP LEVEL -1
MH-0593
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
24TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 5
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ONE STEP IS 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
21ST ST JUST BELOW VALLEY DR
4/3/2017
U-1209-6134
11:48AM MACP LEVEL -1
MH-0594
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
21ST ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 3
Channel Deffect Comments
Steps: Material 3
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
3 STEPS YOU CAN SEE AND ONE LOOKS LIKE ITS MISSING DUE TO CORRSION
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
APPEARS TO BE NO CHANNEL
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 20TH STJUST BELOW VALLEY DR
4/3/2017
U-1209-6134
1:55PM MACP LEVEL -1
MH-0595
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
20TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON VALLEY PARK AVE BELOW 18TH ST
4/3/2017
U-1209-6134
2:19PM MACP LEVEL -1
MH-0596
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY PARK AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF VALLEY PARK AVE AND 18TH ST
4/3/2017
U-1209-6134
2:14PM MACP LEVEL -1
MH-0597
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY PARK AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON VALLEY PARK AVE JUST ABOVE 18TH ST
4/3/2017
U-1209-6134
2:31PM MACP LEVEL -1
MH-0598
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY PARK AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON VALLEY PARKS AVE JUST BELOW 20TH ST
4/10/2017
U-1209-6134
11:04AM MACP LEVEL -1
MH-0599
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY PARKS AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
BETWEEN VALLEY PARK AVE AND VALLEY DR ON 18TH ST
4/3/2017
U-1209-6134
2:08PM MACP LEVEL -1
MH-0600
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
18TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 18TH ST JUST BELOW VALLEY DR
4/3/2017
U-1209-6134
2:02PM MACP LEVEL -1
MH-0601
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
18TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 8
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON SCHOOL PROPERTY
5/30/2017
U-1209-6134
1:36PM MACP LEVEL -1
MH-0603
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
HERMOSA VALLEY SCHOOL A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE ITS METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code 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 1
Channel Deffect Comments
Steps: Material 2
# of Steps 5
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
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
FIRST MH JUST BELOW 18TH ST ON VALLEY DR
5/16/2017
U-1209-6134
2:18PM MACP LEVEL -1
MH-0604
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code 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 12
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
WHERE VALLEY DR AND PIER AVE MEET
5/16/2017
U-1209-6134
2:29PM MACP LEVEL -1
MH-0606
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code 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 7
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
2:23AM MACP LEVEL -1
MH-0607
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code 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 5
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
2:28AM MACP LEVEL -1
MH-0608
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 4
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
3:26AM MACP LEVEL -1
MH-0609
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY DR A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition NA
NA
Chimney O&M Comments
Cone: Condition NA
Cone O&M Comment
Wall: Condition NA
Wall O&M Comment
Bench: Condition NA
Bench Deffect Comments
Channel Condition NA
Channel Deffect Comments
Steps: Material NA
# of Steps
General Comments MH LID IS STUCK
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
2:33AM MACP LEVEL -1
MH-0609A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
3:19AM MACP LEVEL -1
MH-0610
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
VALLEY DR A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
3:13AM MACP LEVEL -1
MH-0611
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
8TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code D
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 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
HOLE
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/25/2017
U-1209-6134
1:42PM MACP LEVEL -1
MH-0612
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
8TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 4
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/25/2017
U-1209-6134
1:52PM MACP LEVEL -1
MH-0613
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
3:03AM MACP LEVEL -1
MH-0614
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
MISSING CORRODED OFF
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON PCH BETWEEN 8TH ST AND 8TH PL
5/17/2017
U-1209-6134
12:00PM MACP LEVEL -1
MH-0615
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
11:36AM MACP LEVEL -1
MH-0629
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
AVIATION BLVD A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORROSION
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
NO CHIMNEY
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
WHERE 11TH PL AND PROSPECT AVE MEET
4/11/2017
U-1209-6134
12:40PM MACP LEVEL -1
MH-0631
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PROSPECT AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code D
Inspection Status SI
Access Type: AMH
Surface Type: 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 NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
NO CHIMNEY
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
CORNER OF BUILDING
5/30/2017
U-1209-6134
11:31AM MACP LEVEL -1
MH-0632
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PROSPECT AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
WHERE PROSPECT AVE AND 11TH ST MEET
4/11/2017
U-1209-6134
12:55PM MACP LEVEL -1
MH-0633
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PROSPECT AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACKS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACKS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
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
WHERE PROSPECT AVE AND 10TH ST MEET
4/11/2017
U-1209-6134
10:30AM MACP LEVEL -1
MH-0634
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PROSPECT AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MIDDLE OF 10TH ST BETWEEN HARPER AVE AND PROPECT AVE
4/11/2017
U-1209-6134
10:23AM MACP LEVEL -1
MH-0635
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
10TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MIDDLE OF 11TH ST BETWEEN PROSPECT AVE AND HARPER AVE.
4/11/2017
U-1209-6134
12:50PM MACP LEVEL -1
MH-0637
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
11TH 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
LOOKS LIKE THERE WAS A REPAIR DONE IN THE MH WITH BRICK
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 11TH ST WHERE 11TH MEET HARPER AVE
4/11/2017
U-1209-6134
12:46PM MACP LEVEL -1
MH-0638
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
11TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MIDDLE OF 11TH PL BETWEEN PROSPECT AVE AND HARPER AVE
4/11/2017
U-1209-6134
12:34PM MACP LEVEL -1
MH-0639
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
11TH PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 10TH ST JUST BEFORE PCH
4/11/2017
U-1209-6134
9:52AM MACP LEVEL -1
MH-0643
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
10TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 10TH ST BETWEEN PCH AND OCEAN DR CLOSER TO OCEAN DR
4/11/2017
U-1209-6134
9:59AM MACP LEVEL -1
MH-0644
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
10TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 4
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 10TH BETWEEN OCEAN DR AND OWOSSO AVE
4/11/2017
U-1209-6134
10:05AM MACP LEVEL -1
MH-0645
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
10TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
WHERE 10TH AND PROSPECT AVE MEET
4/11/2017
U-1209-6134
10:12AM MACP LEVEL -1
MH-0646
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
10TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 4
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE ITS METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 9TH JUST BEFORE PCH
4/11/2017
U-1209-6134
1:09PM MACP LEVEL -1
MH-0648
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
9TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 9TH ST SECOND MH FROM OCEAN DR GOING TO PCH
4/11/2017
U-1209-6134
1:13PM MACP LEVEL -1
MH-0648A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
9TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 9TH ST NEXT TO OCEAN DR GOING TOWARDS PCH
4/11/2017
U-1209-6134
1:20PM MACP LEVEL -1
MH-0649
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
9TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 9TH ST BETWEEN OCEAN DR AND OWOSSO AVE
4/11/2017
U-1209-6134
1:26PM MACP LEVEL -1
MH-0650
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
9TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 9TH ST WHERE 9TH MEET PROSPECT AVE
4/11/2017
U-1209-6134
1:43PM MACP LEVEL -1
MH-0651
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
9TH A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON OCEAN DR BETWEEN 9TH ST AND 8TH PL
4/11/2017
U-1209-6134
1:50PM MACP LEVEL -1
MH-0653
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
OCEAN DR A.SOUZA
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 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THERE METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON OCEAN DR BETWEEN 8TH PL AND 8TH ST
4/11/2017
U-1209-6134
2:19PM MACP LEVEL -1
MH-0656A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
OCEAN DR A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 6TH ST JUST BEFORE PROPECT AVE
4/14/2017
U-1209-6134
7:32AM MACP LEVEL -1
MH-0662
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
6TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 4
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE THER METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 6TH AND PINE ST
4/14/2017
U-1209-6134
1:41PM MACP LEVEL -1
MH-0662A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
6TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
A SMALL STREET BETWEEN 6TH AND 7TH ST OFF OF 6TH ST BEFORE
PROSPECT AVE
4/14/2017
U-1209-6134
7:36AM MACP LEVEL -1
MH-0663
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ALLEY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code 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 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 7TH ST BETWEEN PROSPECT AVE AND PCH
4/17/2017
U-1209-6134
3:09PM MACP LEVEL -1
MH-0667
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
7TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 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
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 7TH ST AND PROSPECT AVE
4/12/2017
U-1209-6134
1:45PM MACP LEVEL -1
MH-0669
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
7TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
8TH AND PROSPECT AVE
4/11/2017
U-1209-6134
2:54PM MACP LEVEL -1
MH-0670
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
8TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
PROSPECT AND 9TH
4/11/2017
U-1209-6134
2:39PM MACP LEVEL -1
MH-0671
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
9TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
MIDDLE OF 9TH ST BETWEEN PROSPECT AND HARPER AVE
4/11/2017
U-1209-6134
2:46PM MACP LEVEL -1
MH-0673
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
9TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 8TH ST BETWEEN PROSPECT AND HARPER AVE, CLOSER TO
PROSPECT AVE
4/11/2017
U-1209-6134
2:58PM MACP LEVEL -1
MH-0675
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
8TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
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.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
NO CHIMNEY
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 8TH ST BETWEEN PROSPECT AVE AND HARPER AVE, CLOSER TO
HARPER AVE
4/11/2017
U-1209-6134
3:02PM MACP LEVEL -1
MH-0676
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
8TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
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 3
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 7TH ST EAST OF PROSPECT AVE
4/12/2017
U-1209-6134
1:29PM MACP LEVEL -1
MH-0677
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
7TH 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
FRAME IS OFFSET
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED AND MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 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
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
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 7TH ST BETWEEN PROSPECT AVE AND GOODMAN AVE
4/12/2017
U-1209-6134
1:33PM MACP LEVEL -1
MH-0678
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
7TH 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 FRAME IS OFFSET. ON DRIVEWAY
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 2
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
PROSPECT AVE AND 7TH PL
4/12/2017
U-1209-6134
1:51PM MACP LEVEL -1
MH-0679
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PROSPECT AVE A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
NO CHANNEL, DOESN’T FLOW CORRECTLY
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 7TH PL WHERE 7TH AND HOLLOWELL AVE MEET
4/12/2017
U-1209-6134
1:56PM MACP LEVEL -1
MH-0680
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
7TH PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACKS
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
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
AT 7TH PL AND REYNOLDS LN
4/12/2017
U-1209-6134
2:03PM MACP LEVEL -1
MH-0681
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
7TH PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
6TH ST AND REYNOLDS LN
4/12/2017
U-1209-6134
2:07PM MACP LEVEL -1
MH-0682
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
6TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
6TH ST AND HOLLOWELL AVE
4/12/2017
U-1209-6134
2:11PM MACP LEVEL -1
MH-0683
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
6TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code Y
Inspection Status SI
Access Type: AMH
Surface Type: 4
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON PROSPECT AVE JUST BELOW 8TH PL
4/11/2017
U-1209-6134
2:32PM MACP LEVEL -1
MH-0685
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PROSPECT AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code D
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON PROSPECT AVE JUST BELOW 9TH ST
4/11/2017
U-1209-6134
2:28PM MACP LEVEL -1
MH-0686
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PROSPECT AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 4
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/25/2017
U-1209-6134
2:16PM MACP LEVEL -1
MH-0687
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
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
2:07PM MACP LEVEL -1
MH-0687A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/25/2017
U-1209-6134
2:03PM MACP LEVEL -1
MH-0687B
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
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
2:00PM MACP LEVEL -1
MH-0687C
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORROSION MISSING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/25/2017
U-1209-6134
5:47PM MACP LEVEL -1
MH-0688
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code 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 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE ITS METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 8TH PL JUST BEFORE PCH
4/14/2017
U-1209-6134
11:31AM MACP LEVEL -1
MH-0688A
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
8TH PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
NO CHIMNEY
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: INGLEWOOD
MANHOLE CONDITION ASSESSMENT FORM
ON 8TH PL JUST BEFORE ARDMORE AVE
4/14/2017
U-1209-6134
11:25AM MACP LEVEL -1
MH-0688B
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
8TH PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
NO CHIMNEY
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 8TH PL JUST BEFORE ARDMORE AVE
4/14/2017
U-1209-6134
11:23AM MACP LEVEL -1
MH-0688C
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
8TH PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 8TH PL JUST BEFORE PCH
4/14/2017
U-1209-6134
11:33AM MACP LEVEL -1
MH-0688D
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
8TH PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 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
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
1:42AM MACP LEVEL -1
MH-0689
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
1:38AM MACP LEVEL -1
MH-0690
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
1:28AM MACP LEVEL -1
MH-0691
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring 1
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
1:24AM MACP LEVEL -1
MH-0692
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 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
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
PIECES OF BRICK MISSING
(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 11TH PL NEAR PCH
4/17/2017
U-1209-6134
2:25PM MACP LEVEL -1
MH-0693
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
11TH PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code Y
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 3
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
I BELIEVE ITS METAL WITH PLASTIC COATING
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 11TH PL SECOND MH WEST OF PCH
4/17/2017
U-1209-6134
2:30PM MACP LEVEL -1
MH-0693B
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
11TH PL A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 2
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
NO CHANNEL
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
1:58AM MACP LEVEL -1
MH-0694
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
11TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 10TH ST JUST WEST OF PCH
4/17/2017
U-1209-6134
2:37PM MACP LEVEL -1
MH-0695
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
10TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
ON 9TH ST JUST WEST OF PCH
4/17/2017
U-1209-6134
2:44PM MACP LEVEL -1
MH-0696
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
9TH ST A.SOUZA
1 Inspection Date: Inspection Time:
Street Name Survey By: MH/ACCESS #.:
Survey Purpose MACP # Field Book Page:
Location Comments: CITY
OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.BRICK 2.METAL 3.PLASTIC 4.OTHER
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER
1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE
8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT
PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL
1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING
8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)
SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)
LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER
1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION
1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH
MANHOLE CONDITION ASSESSMENT FORM
5/25/2017
U-1209-6134
1:25PM MACP LEVEL -1
MH-0697
ROUTINE ASSESSMENT N/A
HERMOSA BEACH
ARDMORE AVE A.SOUZA