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���:. Tn�E o�FEcrs _____..�
<br />. nuvraErFcts:
<br />�
<br />5uspecl rool rol: Y� Musluuom/conk/brackel p�esenl: Y N 10: ._ ._..� _.._
<br />; F.�posed roofs: ❑ severe ❑ moderate �inw Undeimin���L• CJ severe �l moderate ❑ low '=
<br />; j flool pruned: _ dislance Irom Irunk Roat area a(lacled: ___ °�o Bullress wounded: Y�
<br />� fl�:slticled root area: [J severe O moderale D luw Palenlial lor roal laflure• ❑ severe O moderate
<br />� � jAN: _ deq. Irom vertical ❑ nalural ❑ unnalural f,1 self-corrected 5aN heavinp: Y�
<br />;,' ,
<br />, ,;
<br />""°� I��cay in plane ul le�n: Y� Rools broken Y� Safl cracking: Y � '
<br />;,..
<br />i;:�� ; ': <,mpoundinp lacta�s: ' Lean severiry:
<br />�:;; r�OWN Df'�ECTS: Indicale presence of individual defects and rale Iheir severily (s = severr,, m= moderate, I= low)
<br />: E UEFECT _ ____ _ ____ _ ___ _ f100T CRUWN TRUNK ____ SCAffOID:
<br />� f'00_—_i1�'I ---- -- --
<br />� ; -------
<br />f30W, 5�ti'CCp
<br />i,,`' i --- ----- —
<br />;;;, i ':odominanls/lorks__ ____` __
<br />:: � �aluitiple altachrnenls __ _
<br />' � ncluded bark
<br />i '. ;xcessive end �veiyht _ _ '
<br />� �;racks/splits
<br />;� . — — --
<br />� "�tngers
<br />'��� ��iidling —
<br />"; �Nvunds/searn V �— ---- -
<br />;P�y -
<br />�avi _ _ _
<br />�onks/mushrooms/brackel
<br />jleeding/sap tlow _
<br />; , l.otlse/cracked bark __
<br />Wiien:
<br />C) Iov�
<br />O severe D
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<br />,�;li�.'��!M�', i .
<br />3 C ,�_'�C:i �I ��:I:,
<br />wr.z�inrn�m.��:s �c „i
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<br />�'�Et � �I'HI
<br />;j,,j; 'l:f
<br />i . � �,
<br />� lestin hole/bee hive ¢
<br />---
<br />_. �
<br />, �eadv�;ood/stubs.. _ _ _.
<br />� Jure►sltermiles/ants ''9
<br />� Cankers/galls/Uurls _ __
<br />; 'revious tailure - `
<br />� '�ik�Hf��,�i����NG __.
<br />`
<br />� .. . `
<br />' �� parl most likely to lail: _,/,�/�.,. �Z failur? potential: 1- low�iedium: 3- hif�
<br />, ��pf�,�.. i i;f�-i ��t�. -- .
<br />��;` i � Size �( part: t-<6"(t5 cm�;�-18" (15'-4�
<br />UPclion penod: _ annual ___. biannual olher
<br />3 - 18-30" (45-75 cm): 4 - >30"�
<br />�i�ire�Po�c�r�i�t"� Si�e o1 Part + Targel Ralin� Na��td Rating Tar ;�.; raling: 1- occasional use: 2 inlermitt�i
<br />�� �i{JC'!� I(+�'I �: � � 1 � N ,,1 1 � �
<br />�, � �___ . �7 _ �• IfCQU2tti U58: a - CO�SlBt11,U
<br />� � ,;i
<br />;.'. f � �' �IR'D°'.ASATEMENT .�. �� � 5, , _.
<br />� 1 I�t1��`'� :i�7°t�iridV2' deleclive part O redUde end weight O crown clean ❑ ihin ❑ r8ise c�hopy ❑ crown reduce iJ reslructore f�
<br />���hi�'�Btace:�- '; 'j''!'`°' Inspi�C'i ll►rther. [7 root �rown ❑ decay ❑ aeri�
<br />� �I#i'$V� �r��9�' '�' "N Replace? Y N hhoYe largek Y N Other: ..!��
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<br />' i' �`�'���il �1�����f���W�es: ❑ none CJ evaluate
<br />�. _
<br />' ;+'lltf��'�'I�o��'� '�`bwner C7 manager J���{}��ii��i�j agency Date: e'�"
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