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FORWARD LANDFILL <br /> 0 DAILY PRE-APPLICATION INSPECTION FORM <br /> Waste Discharge Requirements Order No.R5-2014-0006 <br /> Weather conditions: <br /> Temperature, <br /> Wind direction: Wind speed: S <br /> Other relevant field conditions: -jon,,t,-k <br /> Evidenceof erosion...................................................................................eNo..............................o Yes <br /> Bereacondition...........................................................................................m,<,00d.........................0 Needs attention <br /> Soilsaturation..............................................................................................2-'Ro..............................0 Yes <br /> Ponding.........................................................................................................C<No..............................ci Yes <br /> Potential runoff to off-site areas.............................................................PrNo..............................o Yes <br /> Potential discharge to surface water.................................................. Flo....................,.........0 Yes <br /> Actual discharge to surface water..........................................................G?'No..............................0 Yes <br /> Accumulation of organic solids..............................................................ETNo..............................o Yes <br /> 0Soilclogging...............................................................................................(VK0.......'..................1 0 Yes <br /> Odors that have the potential to be objectionable at or <br /> beyondthe property boundary............................................................... No..............................0 Yes <br /> Vectors (insects, rodents) ......................................................................./No..............................o Yes <br /> Documented observations requiring corrective action and corrective action taken(if applicable): <br /> Note: No valves arequid aspartef the land ap <br /> plication o <br /> peiadox <br /> *ate/time: -4EJ10-1-2c,14 @ o710 Signature: Tide: Operations Manager <br /> Ruben kaminezZ <br />