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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: (000F <br /> Wind direction: $1 Wind speed: Q0 r�Orn <br /> Other relevant field conditions: �0HIA <br /> Evidenceof erosion...................................................................................aeNo..............................0 Yes <br /> Bermcondition............................................................................................VGood.........................o Needs attention <br /> Soilsaturation..............................................................................................M'eNo..............................o Yes <br /> Ponding.........................................................................................................M"No..............................0 Yes <br /> Potential runoff to off-site areas.............................................................all-To..............................o Yes <br /> Potential discharge to surface water.....................................................&'No..............................13 Yes <br /> Actual discharge to surface water..........................................................941TO..............................11 Yes <br /> Accumulation of organic solids..............................................................4'No..............................0 Yes <br /> *Soil clogging.......................I........................................................................ZN o..............................o Yes <br /> Odors that have the potential to be objectionable at or <br /> beyond the property boundary...............................................................Ao..............................o Yes <br /> Vectors (insects, rodents) .......................................................................dNo..............................o Yes <br /> Documented observations requiring corrective action and corrective action taken (if applicable): <br /> DIA <br /> Note.- No valves an required as part of the land application operation. <br /> Wate/time: @ 07/0 Signature: t Title: Operations Manager <br /> Ruben Ramirez <br />