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FORWARD IANDFILL <br /> DAILITP -APPLICATION INSPECTION FORM <br /> Waste Discharge Requirements Order No.R5-2014-0006 <br /> Weather conditions: <br /> Temperature:. <br /> Wind direction: W Wind speed: 'A <br /> Other relevant field conditions: 15011" <br /> Evidenceof erosion...................................................................................mNo..............................o Yes <br /> Senncondition...........................................................................................e(Good..........................0 Needs attention <br /> Soilsaturation.............................................................................................&�No..............................0 Yes <br /> Ponding.........................................................................................................in/No..............................0 Yes <br /> Potential runoff to off-site areas.............................................................WINO..............................0 Yes <br /> Potential discharge to surface water.....................................................VNo..............................oYes <br /> Actual discharge to surface water..........................................................ro(No..... ........................o Yes <br /> Accumulation of organic solids..............................................................e"No..............................o Yes <br /> SoilClogging................................................................................................V/No..............................o Yes <br /> Odors that have the potential to be objectionable at or <br /> beyondthe property boundary...............................................................VNo..............................0 Yes <br /> Vectors (insects,rodents) .......................................................................Ao..............................0 Yes <br /> Documented observations requiring corrective action and corrective action taken (if applicable): <br /> P14- <br /> Note: No valves are requhrd as part of the land application operation. <br /> Date/time: 1,L1111204 @ 0110 Signature: t Title: Operations-Manager <br /> Ruben Ramirez,,-' <br />