Cities Index.
Agenda packet, regular meeting

Hermosa Beach City Council
July 22, 2025

Document
Agenda packet, regular meeting
Meeting
July 22, 2025
Body
Hermosa Beach City Council
Pages
3,438
Original file
170.7 MB
Text extracted from the city's file for reading and search. Open the original on pub-hermosabeach.escribemeetings.com. That file is the official record.

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

CORROSION

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.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
1:13PM MACP LEVEL -1
MH-0698

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ARDMORE AVE A.SOUZA

Page 2464 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code Y
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
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:: INGLEWOOD

MANHOLE CONDITION ASSESSMENT FORM
ON 6TH ST BETWEEN ARDMORE AVE AND PCH CLOSER TO PCH
4/17/2017
U-1209-6134
2:57PM MACP LEVEL -1
MH-0699

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
6TH ST 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

Page 2465 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.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 7TH ST EAST OF ARDMORE AVE
4/17/2017
U-1209-6134
2:50PM MACP LEVEL -1
MH-0700

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
7TH ST A.SOUZA

Page 2466 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
3:22AM MACP LEVEL -1
MH-0701

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
VALLEY DR A.SOUZA

Page 2467 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments FRAME IS OFFSET

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.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 BARD ST AND CYPRESS AVE
4/17/2017
U-1209-6134
10:24AM MACP LEVEL -1
MH-0702

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
8TH ST A.SOUZA

Page 2468 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code Y
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments 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) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.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 BARD ST ABOVE 8TH ST
4/12/2017
U-1209-6134
7:41AM MACP LEVEL -1
MH-0703A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
BARD ST A.SOUZA

Page 2469 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code B
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

TOP OF CYPRESS AVE NEAR CLARK STADIUM
4/12/2017
U-1209-6134
7:26AM MACP LEVEL -1
MH-0704

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
CYPRESS AVE A.SOUZA

Page 2470 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.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 CYPRESS NEAR CLARK STADIUM
4/12/2017
U-1209-6134
7:30AM MACP LEVEL -1
MH-0705

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
CYPRESS AVE A.SOUZA

Page 2471 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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 CYPRESS AVE JUST ABOVE 8TH ST
4/17/2017
U-1209-6134
10:28AM MACP LEVEL -1
MH-0706

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
CYPRESS AVE A.SOUZA

Page 2472 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.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 BARD ST JUST ABOVE 8TH ST
4/12/2017
U-1209-6134
7:37AM MACP LEVEL -1
MH-0707

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
BARD ST A.SOUZA

Page 2473 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 6
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 11TH ST NEAR CYPRESS AVE
4/10/2017
U-1209-6134
3:10PM MACP LEVEL -1
MH-0708

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
11TH ST A.SOUZA

Page 2474 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
WHERE CYPRESS AVE AND 11TH ST MEET
4/10/2017
U-1209-6134
3:16PM MACP LEVEL -1
MH-0709

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
11TH ST A.SOUZA

Page 2475 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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 11TH ST NEAR LOMA DR
4/10/2017
U-1209-6134
3:19PM MACP LEVEL -1
MH-0710

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
11TH ST A.SOUZA

Page 2476 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 6
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
2:41AM MACP LEVEL -1
MH-0711

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
BARD ST A.SOUZA

Page 2477 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
5/31/2017
U-1209-6134
2:44AM MACP LEVEL -1
MH-0712

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
BARD ST A.SOUZA

Page 2478 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 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
5/31/2017
U-1209-6134
2:47AM MACP LEVEL -1
MH-0713

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PIER AVE A.SOUZA

Page 2479 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 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

PIER AVE AND CYPRESS AVE
5/31/2017
U-1209-6134
2:51AM MACP LEVEL -1
MH-0714

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PIER AVE A.SOUZA

Page 2480 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

PIER AVE AND LOMA DR
5/31/2017
U-1209-6134
2:59AM MACP LEVEL -1
MH-0715

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PIER AVE A.SOUZA

Page 2481 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 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
4/11/2017
U-1209-6134
7:35AM MACP LEVEL -1
0716X

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
A.SOUZA

Page 2482 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 4
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 2
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACK

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACK

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

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 LOMA DR JUST ABOVE 11TH ST
4/11/2017
U-1209-6134
7:41AM MACP LEVEL -1
MH-0717

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
LOMA DR A.SOUZA

Page 2483 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 4
1 Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

CORRODED MISSING PART OF STEP

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM

ON CYPRESS AVE JUST BELOW PIER AVE
4/10/2017
U-1209-6134
3:29PM MACP LEVEL -1
MH-0718

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
CYPRESS AVE A.SOUZA

Page 2484 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 4
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 2
Bench Deffect Comments
Channel Condition 2
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

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 CYPRESS AVE JUST ABOVE 11TH ST
4/10/2017
U-1209-6134
3:25PM MACP LEVEL -1
MH-0719

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
CYPRESS AVE A.SOUZA

Page 2485 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments CONCRETE AND ASPHALT FOR SURFACE

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

CORRODED PART 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 CYPRESS AVE JUST BELOW PIER AVE
4/10/2017
U-1209-6134
3:32PM MACP LEVEL -1
MH-0720

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
CYPRESS AVE A.SOUZA

Page 2486 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 5
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF ARDMORE AVE AND 16TH ST
4/4/2017
U-1209-6134
2:07PM MACP LEVEL -1
MH-0722

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 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

Page 2487 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 2
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 ARDMORE JUST ABOVE 16TH ST
4/4/2017
U-1209-6134
2:38PM MACP LEVEL -1
723

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ARDMORE AVE A.SOUZA

Page 2488 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 3
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
ON ARDMORE JUST BELOW AN ALLEY BELOW 21ST ST
4/4/2017
U-1209-6134
2:44PM MACP LEVEL -1
MH-0724

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 PLASTIC COATING

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2489 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 3
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

I BELIEVE ITS METAL WITH A PLASTIC COATING

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
JUST BELOW 21ST ST ACROSS FROM ALLEY
4/4/2017
U-1209-6134
2:50PM MACP LEVEL -1
MH-0725

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ARDMORE AVE A.SOUZA

Page 2490 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition 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
CRACK

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF ARDMORE AVE AND 21ST ST
4/4/2017
U-1209-6134
2:56PM MACP LEVEL -1
MH-0726

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ARDMORE AVE A.SOUZA

Page 2491 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
4:23AM MACP LEVEL -1
MH-0727

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

Page 2492 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 2
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
4:29AM MACP LEVEL -1
MH-0728

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

EROSION

Page 2493 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
4:32AM MACP LEVEL -1
MH-0729

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

Page 2494 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
4:38AM MACP LEVEL -1
MH-0730

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

Page 2495 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code 1
Inspection Status SI
Access Type: AMH
Surface Type: 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 2
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACK

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CRACK

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM

INTERSECTION OF PORTER LN AND ARDMORE AVE
5/16/2017
U-1209-6134
1:32PM MACP LEVEL -1
MH-0731

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ARDMORE AVE A.SOUZA

Page 2496 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 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

MIDDLE OF PORTER LN ABOVE ARDMORE
3/27/2017
U-1209-6134
11:30AM MACP LEVEL -1
MH-0732

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PORTER LN A.SOUZA

Page 2497 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 2
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

I BELIEVE THER METAL WITH PLASTIC COATING

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM

TOP OF PORTER LN JUST BELOW PCH
3/27/2017
U-1209-6134
11:41AM MACP LEVEL -1
MH-0732A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PORTER LN A.SOUZA

Page 2498 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 4
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
TOP OF 25TH ST
3/27/2017
U-1209-6134
11:47AM MACP LEVEL -1
MH-0734

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
25TH ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2499 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

NO STEPS

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.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 ARDMORE AVE AND PCH ON 24TH PL
4/3/2017
U-1209-6134
9:18AM MACP LEVEL -1
MH-0735

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
24TH PL A.SOUZA

Page 2500 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 3
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 TOP OF LINE
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
11:19PM MACP LEVEL -1
MH-0736

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
24TH PL A.SOUZA

Page 2501 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
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

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
MIDDLE OF 24TH ST BETWEEN PCH AND ARDMORE AVE
4/3/2017
U-1209-6134
9:30AM MACP LEVEL -1
MH-0737

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
24TH ST A.SOUZA

Page 2502 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
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

NO STEPS

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.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 24TH ST JUST BELOW PCH
4/3/2017
U-1209-6134
9:36AM MACP LEVEL -1
MH-0738

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
24TH ST A.SOUZA

Page 2503 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
21ST AND AVA AVE
4/3/2017
U-1209-6134
10:49AM MACP LEVEL -1
MH-0739

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
21ST ST A.SOUZA

Page 2504 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 1
# of Steps 1
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

CORRODED OFF MISSING

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

UNKNOWN OBJECT IN HOLE OF WALL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.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
PCH AND 21ST ST
58/31/17
U-1209-6134
11:44PM MACP LEVEL -1
MH-0740

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2505 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
11:23PM MACP LEVEL -1
MH-0741

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2506 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
PCH AND 24TH PL
5/31/2017
U-1209-6134
11:14PM MACP LEVEL -1
MH-0742

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2507 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
4:46AM MACP LEVEL -1
MH-0743

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.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

Page 2508 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

NO STEPS

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

LIGHT ROOTS

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM

MIDDLE OF AVA AVE ST
4/3/2017
U-1209-6134
11:04AM MACP LEVEL -1
MH-0744

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
AVA AVE A.SOUZA

Page 2509 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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 SPRINGFIELD AVE BELOW 21ST ST
4/3/2017
U-1209-6134
9:57AM MACP LEVEL -1
MH-0745

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
SPRINGFIELD AVE A.SOUZA

Page 2510 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code H
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
2 Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

CORRODED

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

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

ALLEY OFF OF SPRINGFIELD AVE
4/3/2017
U-1209-6134
10:06AM MACP LEVEL -1
MH-0746

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ALLEY A.SOUZA

Page 2511 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
NA
Chimney O&M Comments
Cone: Condition NA
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition NA
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
ON SPRINGFIELD AVE JUST BELOW 21ST ST
4/3/2017
U-1209-6134
9:52AM MACP LEVEL -1
MH-0747

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
SPRINGFIELD AVE 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

TOP OF LINE

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

NO CONE

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

NO STEPS

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

NO CHANNEL

Page 2512 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
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

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.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

TOWARDS THE END OF THE CULDISAC ON SPRINGFIELD AVE BEFORE

CLEANOUT
4/3/2017
U-1209-6134
10:41AM MACP LEVEL -1
MH-0748

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
SPRINGFIELD AVE A.SOUZA

Page 2513 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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 AVA AVE JUST BELOW 21ST ST
4/3/2017
U-1209-6134
10:57AM MACP LEVEL -1
MH-0749

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
AVA AVE A.SOUZA

Page 2514 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 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

NO CONE

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

NO STEPS

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition

NO CHIMNEY
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM

END OF THE CULDISAC ON AVA AVE
4/3/2017
U-1209-6134
11:17AM MACP LEVEL -1
MH-0750

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
AVA AVE A.SOUZA

Page 2515 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
5/31/2017
U-1209-6134
1:07AM MACP LEVEL -1
MH-0751

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
16TH ST A.SOUZA

Page 2516 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 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 SMALL HOLE TO SEWER LINE COVERED WITH 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) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.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
5/31/2017
U-1209-6134
1:05AM MACP LEVEL -1
MH-0751A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
16TH ST A.SOUZA

Page 2517 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 2
Bench Deffect Comments
Channel Condition 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 OFF

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
12:29AM MACP LEVEL -1
MH-0752

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
A.SOUZA

Page 2518 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
5/31/2017
U-1209-6134
12:57AM MACP LEVEL -1
MH-0752A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
16TH ST A.SOUZA

Page 2519 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 Chimney O&M Comments
Cone: Condition 3
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

NO CONE

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition

NO CHIMNEY
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
1:01AM MACP LEVEL -1
MH-0752B

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
16TH ST A.SOUZA

Page 2520 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
PCH AND 16TH
5/31/2017
U-1209-6134
12:32AM MACP LEVEL -1
MH-0753

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.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

Page 2521 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 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
PCH AND 17TH ST
5/31/2017
U-1209-6134
12:36AM MACP LEVEL -1
MH-0754

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2522 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments 1
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
12:40AM MACP LEVEL -1
MH-0755

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2523 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
PCH AND 19TH ST
5/31/2017
U-1209-6134
12:45AM MACP LEVEL -1
MH-0756

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2524 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.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
PCH AND 21ST ST
5/31/2017
U-1209-6134
11:49PM MACP LEVEL -1
MH-0757

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2525 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 2
Bench Deffect Comments
Channel Condition 2
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/31/2017
U-1209-6134
11:27PM MACP LEVEL -1
MH-0758

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED

Page 2526 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 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
11:31PM MACP LEVEL -1
MH-0759

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2527 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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 21ST ST NEAR BORDEN AVE
4/6/2017
U-1209-6134
1:03PM MACP LEVEL -1
MH-0761

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
21ST ST A.SOUZA

Page 2528 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF 21ST AND BORDEN AVE
4/6/2017
U-1209-6134
1:08PM MACP LEVEL -1
MH-0762

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
21ST ST A.SOUZA

Page 2529 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 5
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

I BELIEVE ITS METAL WITH A PLASTIC COATING

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
RHODES ST AND 21ST ST
4/6/2017
U-1209-6134
1:21PM MACP LEVEL -1
MH-0763

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
21ST ST A.SOUZA

Page 2530 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 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
21ST ST AND HILLCREST DR
4/6/2017
U-1209-6134
1:31pm MACP LEVEL -1
MH-0764

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
21ST ST A.SOUZA

Page 2531 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
21ST ST AND HILLCREST DR
4/6/2017
U-1209-6134
1:38PM MACP LEVEL -1
MH-0764A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
21ST ST A.SOUZA

Page 2532 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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

END OF CULDISAC ON HILLCREST DR
4/6/2017
U-1209-6134
11:31AM MACP LEVEL -1
MH-0764B

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HILLCREST DR A.SOUZA

Page 2533 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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 HILLCREST DR MIDDLE OF ST
4/6/2017
U-1209-6134
11:28AM MACP LEVEL -1
MH-0764C

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HILLCREST DR A.SOUZA

Page 2534 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
2 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

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

PIECES OF WOOD BETWEEN FRAME AND 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 21ST ST NEAR PROSPECT AVE
4/6/2017
U-1209-6134
1:44PM MACP LEVEL -1
MH-0765

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
21ST ST A.SOUZA

Page 2535 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 2
Channel Deffect Comments
Steps: Material 3
# of Steps 12
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
10:36AM MACP LEVEL -1
MH-0766

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

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

EROSION

Page 2536 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 Chimney O&M Comments
Cone: Condition 3
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 NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

NO CONE

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

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
21ST ST AND HARPER AVE
4/6/2017
U-1209-6134
10:31AM MACP LEVEL -1
MH-0767

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
21ST ST A.SOUZA

Page 2537 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
10:18AM MACP LEVEL -1
MH-0768

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

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

Page 2538 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 3
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
10:41AM MACP LEVEL -1
MH-0769

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

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

Page 2539 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
10:44AM MACP LEVEL -1
MH-0770

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

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

Page 2540 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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 HILLCREST DR JUST BELOW 21ST ST
4/6/2017
U-1209-6134
3:34PM MACP LEVEL -1
MH-0771

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HILLCREST DR A.SOUZA

Page 2541 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code Y
Inspection Status SI
Access Type: AMH
Surface Type: 4
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 Chimney O&M Comments
Cone: Condition 3
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

NO WALL

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 GRASS BETWEEN 19TH AND 20TH ST
4/6/2017
U-1209-6134
2:59PM MACP LEVEL -1
MH-0772

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
RHODES ST A.SOUZA

Page 2542 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
TOP OF BORDEN AVE ABOVE 21ST ST
4/6/2017
U-1209-6134
11:39AM MACP LEVEL -1
MH-0773

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
BORDEN AVE A.SOUZA

Page 2543 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code H
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 2
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

ERODED AND PITTED

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.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
BETWEEN 21ST AND 20TH ST
4/6/2017
U-1209-6134
1:59PM MACP LEVEL -1
MH-0774

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ALLEY A.SOUZA

Page 2544 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.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
ALLEY BETWEEN 20TH ST AND 19TH ST
4/6/2017
U-1209-6134
2:08PM MACP LEVEL -1
MH-0775

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ALLEY A.SOUZA

Page 2545 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code H
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 3
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

NO CHANNEL
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.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
ALLEY NEXT TO RHODES ST BETWEEN 20TH AND 19TH
4/6/2017
U-1209-6134
2:14PM MACP LEVEL -1
MH-0776

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ALLEY A.SOUZA

Page 2546 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code H
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 3
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
ALLEY NEAR RHODES ST AND BETWEEN 20TH AND 21ST
4/6/2017
U-1209-6134
2:02PM MACP LEVEL -1
MH-0777

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ALLEY A.SOUZA

Page 2547 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 2
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
ON 19TH ST NEAR RHODES ST
4/6/2017
U-1209-6134
3:08PM MACP LEVEL -1
MH-0778

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
19TH ST A.SOUZA
Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING 1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

LOOKS BOKEN

Page 2548 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.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
18TH ST JUST BEFORE PCH
4/7/2017
U-1209-6134
12:06PM MACP LEVEL -1
MH-0779

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
18TH ST A.SOUZA

Page 2549 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 5
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

I BELIEVE THESE ARE 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
18TH AND RHODES ST
4/7/2017
U-1209-6134
11:43AM MACP LEVEL -1
MH-0780

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
18TH ST A.SOUZA

Page 2550 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 2
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
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
ERODED

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF 18TH AND HILLCREST DR
4/7/2017
U-1209-6134
11:36AM MACP LEVEL -1
MH-0781

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
18TH ST A.SOUZA

Page 2551 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
11:00AM MACP LEVEL -1
MH-0782

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

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2552 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 6
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 18TH ST JUST BEFORE PROSPECT AVE
4/7/2017
U-1209-6134
10:18AM MACP LEVEL -1
MH-0782A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
18TH ST A.SOUZA

Page 2553 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 2
Cone O&M Comment
Wall: Condition 2
Wall O&M Comment
Bench: Condition
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
10:57AM MACP LEVEL -1
MH-0783

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
CORROSION MISSING 1

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ROOTS

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2554 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 3
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
10:48AM MACP LEVEL -1
MH-0784

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

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

Page 2555 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 4
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
10:52AM MACP LEVEL -1
MH-0784A

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

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

Page 2556 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
11:05AM MACP LEVEL -1
MH-0785

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

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

Page 2557 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 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 HILLCREST DR JUST ABOVE 18TH ST
4/6/2017
U-1209-6134
3:22PM MACP LEVEL -1
MH-0786

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HILLCREST DR A.SOUZA

Page 2558 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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 HILLCREST DR BETWEEN 21ST ST AND 18TH ST
4/6/2017
U-1209-6134
3:34PM MACP LEVEL -1
MH-0787

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
HILLCREST DR A.SOUZA

Page 2559 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 3
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

I BELIEVE THERE METAL WITH A PLASTIC COATING

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
ON RHODES JUST ABOVE 18TH ST
4/6/2017
U-1209-6134
3:12PM MACP LEVEL -1
MH-0788

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
RHODES ST A.SOUZA

Page 2560 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 3
# of Steps 3
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
INTERSECTION OF RHODES ST AND 19TH ST
4/6/2017
U-1209-6134
3:03PM MACP LEVEL -1
MH-0790

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
RHODES ST A.SOUZA

Page 2561 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.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 17TH ST 2ND MH PAST RAYMOND AVE
4/7/2017
U-1209-6134
1:04PM MACP LEVEL -1
MH-0792

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
17TH ST A.SOUZA

Page 2562 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code 1
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 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
WHERE 17TH AND PROSPECT AVE MEET
4/7/2017
U-1209-6134
1:13PM MACP LEVEL -1
MH-0793

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
17TH ST A.SOUZA

Page 2563 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
INTERSECTION OF 16TH AND RAYMOND AVE
4/7/2017
U-1209-6134
2:02PM MACP LEVEL -1
MH-0794

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
16TH ST A.SOUZA

Page 2564 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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 16TH ST JUST PAST RAYMOND ST
4/7/2017
U-1209-6134
1:59PM MACP LEVEL -1
MH-0795

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
16TH ST A.SOUZA

Page 2565 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
CORNER OF 15TH PL
4/7/2017
U-1209-6134
2:08PM MACP LEVEL -1
MH-0798

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
15TH 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

SURFACE TYPE 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

Page 2566 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 2
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
ERODED

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
ON RAYMOND AVE BETWEEN 17TH AND 16TH ST
4/7/2017
U-1209-6134
2:46PM MACP LEVEL -1
MH-0800

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
RAYMOND AVE A.SOUZA

Page 2567 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code H
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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

NO CONE

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition

NO CHIMNEY
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
BETWEEN PCH AND ARDMORE ABOVE 16TH ST BELOW 18TH ST. IN

CONDO OR APARTMENT AREA
5/30/2017
U-1209-6134
12:18PM MACP LEVEL -1
MH-0801

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ALLEY A.SOUZA

Page 2568 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code H
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 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
BETWEEN PCH AND ARDMORE ABOVE 16TH AND BELOW 19TH. LOOKS

LIKE APARTMENT OR CONDO AREA
5/30/2017
U-1209-6134
12:12PM MACP LEVEL -1
MH-0802

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
ALLEY 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

NO CONE

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2569 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code D
Inspection Status SI
Access Type: AMH
Surface Type: 4
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments SURFACE IS DIRT AND MULCH

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
1:18AM MACP LEVEL -1
MH-0806

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PIER AVE A.SOUZA

Page 2570 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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

PCH AND PIER AVE
5/31/2017
U-1209-6134
12:08AM MACP LEVEL -1
MH-0807

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2571 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 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
PCH AND 13TH ST
5/31/2017
U-1209-6134
12:19AM MACP LEVEL -1
MH-0808

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2572 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
PCH AND 11TH PL
5/31/2017
U-1209-6134
12:15AM MACP LEVEL -1
MH-0809

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PACIFIC COAST HIGHWAY A.SOUZA

Page 2573 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 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 5
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
CORRODED 1 MISSING

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM

WHERE AVIATION BLVD AND AUBREY PARK CT MEET
4/10/2017
U-1209-6134
10:30AM MACP LEVEL -1
MH-0812

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
AVIATION BLVD A.SOUZA

Page 2574 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 2
General Comments MH IS NOT NUMBERED ON MAP SO WE CALLED IT 812A SINCE ITS NEXT TO 812

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 AVIATION BLVD AND AUBREY PARK CT MEET MIDDLE OF

CROSSWALK
4/10/2017
U-1209-6134
10:38AM MACP LEVEL -1
MH-0812A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
AVIATION BLVD A.SOUZA

Page 2575 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 4
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.RESTRAINT-MISSING

8.RESTRAINT-DEFECTIVE
1) GOOD 2) TIGHT 3) LOOSE 4) ROCKING 5) BOLT MISSING 6) GASKET BAD/GONE 7) GOOD O-RING Chimney Condition
(DI)ENTRY INSPECTION (SI) FROM SURFACE INSPECION (RI) REMOTE-USE OF REMOTE VISUAL EQUIP (BM)BURRIED MH (NA) NO ACCESS (NF) NOT FOUND (NI) HIGH TRAFFIC CANT INSPEC (NO) CAN'T OPEN (SD)SURCHARGED DEBRIS
(A)-PRIMARY MAJOR ROAD (B)-SECONDARY ROADS (C.) LOCAL STREET (D)EASEMENT (E)WOODS (F)

SIDEWALK (G) PARKING LOG (H) ALLEY (I) DITCH (J) BUILDING (K) CREEK (L) RAILWAY (M) AIRPORT (N)

LEVEE/FLOODWALL (O) DAM (P) LEVEE / PUMP STATION (Y) YARD (Z) OTHER

1.SOUND 2.BROKEN 3.CORRODED (PITTED) 4.CRACKED 5.LEAKING 6.POOR INSTALLATION

1.SOUND 2.BROKEN 3.COATED 4.CORRODED (PITTED / WORN) 5.CRACKED 6.MISSING INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM

WHERE AVIATION BLVD AND BONNIE BRAE ST MEET
4/10/2017
U-1209-6134
8:18AM MACP LEVEL -1
MH-0816

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
AVIATION BLVD A.SOUZA

Page 2576 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments 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) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.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 AVIATION BLVD BEFORE BONNIE BRAE ST
4/10/2017
U-1209-6134
8:13AM MACP LEVEL -1
MH-0816A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
AVIATION BLVD A.SOUZA

Page 2577 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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

WHERE AVIATION BLVD AND CORONA ST MEET
4/10/2017
U-1209-6134
7:40AM MACP LEVEL -1
MH-0818

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
AVIATION BLVD A.SOUZA

Page 2578 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code F
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 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
MIDDLE OF CORONA ST BETWEEN AVIATION BLVD AND 14TH ST
4/10/2017
U-1209-6134
7:31AM MACP LEVEL -1
MH-0818A

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
CORONA ST A.SOUZA

Page 2579 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material NA
# of Steps 0
General Comments
INNERLINE ENGINEERING CITY OF:: HERMOSA BEACH

MANHOLE CONDITION ASSESSMENT FORM
5/30/2017
U-1209-6134
11:26AM MACP LEVEL -1
MH-0819

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

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

Page 2580 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
INTERSECTION OF 14TH AND PROSPECT AVE
4/7/2017
U-1209-6134
9:56AM MACP LEVEL -1
MH-0820

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
14TH ST A.SOUZA

Page 2581 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
3 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
AT 14TH ST AND HARPER AVE
4/7/2017
U-1209-6134
10:04AM MACP LEVEL -1
MH-0821

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
14TH ST A.SOUZA

Page 2582 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 2
Cover Type: 5
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 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
WHERE 15TH AND PROSPECT AVE MEET
4/7/2017
U-1209-6134
9:45AM MACP LEVEL -1
MH-0822

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
15TH ST A.SOUZA

Page 2583 of 3438 ends

1 Inspection Date: Inspection Time:

Street Name Survey By: MH/ACCESS #.:

Survey Purpose MACP # Field Book Page:

Location Comments: CITY

OBSERVATION CODE TYPE CODE
Location Code C
Inspection Status SI
Access Type: AMH
Surface Type: 1
Cover Type: 10
Fit: 1
Condition 1
Cover Adjustment Ring NA
Frame: Condition 1
1 Chimney O&M Comments
Cone: Condition 1
Cone O&M Comment
Wall: Condition 1
Wall O&M Comment
Bench: Condition 1
Bench Deffect Comments
Channel Condition 1
Channel Deffect Comments
Steps: Material 2
# of Steps 1
General Comments

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

CORROSION

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

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN
1) ASPHALT 2) CONCRETE 3) GRAVEL 4) GRASS / DIRT 5) OTHER

1.BOLTED 2.GASKET 3.SOLID 4.INNER-COVER 5.LOCKING 6.HATCH-SINGLE 7.HATCH-DOUBLE

8.LAMPHOLE 9.REMOVABLE-CENTER-COVER 10.VENTED
(ACB) CATCH BASIN (ACOH) CLEANOUT HOUSE (ACOM) CLEANOUT MAINLINE (ACOP) CLEANOUT

PROPERTY (AJB) JUNCTION BOX (AM) METER (AMH) MANHOLE (AOC) OTHER SPECTIAL STRUCTURE (AWA )WASTE WATER ACCESS (AWW) WET WELL

1.SOUND 2.DEFFECTIVE 3.NOT KNOWN

1.SOUND 2.BOLT MISSING 3.BORKEN 4.CORRED (PITTED) 5.CRACKED 6.MISSING 7.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
11:12AM MACP LEVEL -1
MH-0825

ROUTINE ASSESSMENT N/A

HERMOSA BEACH
PROSPECT AVE A.SOUZA

Page 2584 of 3438 ends
← All documents from this meeting