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FORWARD IANDFILL <br /> DAILY PRE-APPLICATION INSPECTION FORM <br /> Waste Discharge Requirements Order No.RS-2014-0006 <br /> Weather conditions: <br /> Temperature: <br /> Wind direction: t4 V1 Wind speed: to n" <br /> Other relevant field conditions: --wtiyw <br /> Evidenceof erosion...................................................................................B/No..............................0 Yes <br /> Berm condition...........................................................................................PR(Good.........................11 Needs attention <br /> Soilsaturation..............................................................................................a a'IN 0................. ........0 Yes <br /> Ponding.........................................................................................................MNO..............................0 Yes <br /> Potential runoff to off-site areas.............................................................Ao..............................0 Yes <br /> Potential discharge to surface water.....................................................521N0..............................El Yes <br /> Actual discharge to surface water..........................................................91NO..............................0 Yes <br /> Accumulationof organic solids..............................................................m/No..............................o Yes <br /> Woil clogging...............................................................................................ar, <br /> &o...............................n Yes <br /> Odors that have the potential to be objectionable at or <br /> beyond the property boundary...............................................................m/No..............................o Yes <br /> Vectors (insects, rodents) .......................................................................911(No......... ...................0 Yes <br /> Documented observations requiring corrective action and corrective action taken (if applicable): <br /> Note: No valves are m1mired as part of the land application operation. <br /> Wate/time: �14 1-L614 @ 0 110 Signature: Title: Operations Manager <br /> Ruben Ranu*rez <br />