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FORWARD LANDFILL <br /> DAILY PRE-APPLICATION INSPECTION FORM <br /> Waste Discharge Requirements Order No.R5-2014-0006 <br /> Weather conditions: <br /> Temperature: (0009 <br /> Wind direction: Wind speed: DNA <br /> Other relevant field conditions: 01A <br /> -Evidence of erosion..................................................................................Q(No..............................0 Yes <br /> Bermcondition....................................................... .......... ..... <br /> ... . ............ 9/Good.........................o Needs attention <br /> Soilsaturation............................................................................................../No..............................o Yes <br /> Ponding.........................................................................................................R/No..............................Ei Yes <br /> Potential runoff to off-site areas.............................................................AINO..............................0 Yes <br /> Potential discharge to surface water.....................................................GrINO..............................13 Yes <br /> Actual discharge to surface water..........................................................RINO..............................o Yes <br /> Accumulation of organic solids..............................................................WI&O..............................0 Yes <br /> Soilclogging................................................................................................VNo..............................0 Yes' <br /> Odors that have the potential to be objectionable at or <br /> beyondthe property boundary...............................................................WNo..............................0 Yes <br /> Vectors (insects, rodents) ....................................................................... No..............................o Yes <br /> Documented observations requiring corrective action and corrective action taken(if applicable): <br /> Note: No rakes are reqmmd as part of the land a <br /> pplication operation. <br /> Date/time: (o lRol @ 0 ooc) Signature: I"— <br /> Tide: Environmental Manager <br /> Erin Fanning <br />