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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: (oof <br /> Wind di-tection: r11A Wind speed: tmp�, <br /> Other relevant field conditions: 5v t4,A Lk <br /> Evidenceof erosion...................................................................................53 No..............................0 yes <br /> Bermcondition.........................................................................................../Good.........................o Needs attention <br /> Soilsaturation................I.............................................................................01NO..............................El Yes <br /> Ponding.........................................................................................................MINO..............................o Yes <br /> Potential runoff to off-site areas.............................................................mNo..............................0 yes <br /> Potential discharge to surface water.....................................................foTlNo..............................o Yes <br /> Actual discharge to surface water..........................................................elNo..............................0 Yes <br /> Accumulation of organic solids..............................................................elNo..............................0 Yes <br /> Soilclogging.................................................................................................s5'-N-o..............................F-i Yes <br /> Odors that have the potential to be objectionable at or <br /> beyond the property boundary...............................................................P-1 o..............................n Yes <br /> Vectors (insects, rodents) .......................................................................of No..............................o Yes <br /> Documented observations requiring corrective action and corrective action taken (if applicable): <br /> Note No valves are irq&h-ed as part qfthe land applicaftaii operation, <br /> @ e: <br /> Date time: LIL212—oN o-�l i> Signature: -ZotZ -44� Title: Operations Manager <br /> Ruben Ramirez/ <br />