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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: <br /> Wind direction: Wind speed, —1CLM0- <br /> Other relevant field conditions: <br /> Evidenceof erosion..................................................................................WNo..............................[i Yes <br /> Bermcondition...........................................................................................dGood.........................o Needs attention <br /> Soilsaturation..............................................................................................tAo..............................o Yes <br /> Ponding.........................................................................................................eNo..............................o Yes <br /> Potential runoff to off-site areas.............................................................ZNo..............................0 Yes <br /> Potential discharge to surface water.....................................................O/No..............................ti Yes <br /> Actual discharge to surface water..........................................................Po..............................n Yes <br /> Accumulation of organic solids..............................................................e'/No..............................o Yes <br /> Soilclogging........................................................I.......I.............................../No..............................0 Yes <br /> Odors that have the potential to be objectionable at or <br /> beyondthe property boundary...............................................................Oto..............................o Yes <br /> Vectors (insects,rodents) .......................................................................AO..............................0 Yes <br /> Documented observations requiring corrective action and corrective action taken (if applicable): <br /> Note. No valves an required as part of the land application operation. <br /> Date/time: <br /> 11014 @ 0710 Signature: dldl� s Title: Operations Manager <br /> Ruben Ramirez,/ <br />