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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: (0 5°F <br /> Wind direction: vl Wind speed: _1 S „uesW <br /> Other relevant field conditions: 150"Vtul <br /> Evidenceof erosion.....................................................:.............................2 (No..............................o Yes <br /> Bermcondition...........................................................................................tY/Good.........................0 Needs attention <br /> Soilsaturation..............................................................................................RKNo..............................a Yes <br /> Ponding........................................................................................................taINo..............................0 Yes <br /> Potential runoff to off-site areas.............................................................2-&0..............................o Yes <br /> Potential discharge to surface water.....................................................tg'/No..............................0 Yes <br /> Actual discharge to surface water..........................................................A0 o Yes <br /> Accumulation of organic solids..............................................................&/No..............................a Yes <br /> Soilclogging......................................................................:......................... .............................a Yes <br /> Odors that have the potential to be objectionable at or <br /> beyondthe property boundary...............................................................P No..............................a Yes <br /> Vectors (insects, rodents) ...................................................................... Ao..............................0 Yes <br /> Documented observations requiring corrective action and corrective action taken(if applicable): <br /> Note. No values an trquind as part et°he land applacatian operation. <br /> ate/time: Jam/ o! @ o s0 Signature: Title: Operations Manager <br /> Ruben Ramirez <br />