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FORWARD LANDFILL. • DAILY PRE -APPLICATION INSPECTION FORM Waste Discharge Requirements Order No. R5-2014-0006 Weather conditions: Temperature: i0o Wind direction: Al Other relevant field conditions: Evidence of erosion .................... Berra condition ... Soil saturation ........................ Wind speed: 7 im k ................... [TVo •-••...........❑ Yes .............. ❑ Needs attention -------------- ❑ Yes Ponding--------------------------------------------------------------------------------------------------------- 2fNo............................... ❑ Yes Potential runoff to off-site areas............................................................. dNo..--..-------.--.._.-._.-_.... ❑ Yes Potential discharge to surface water ..................................................... d No .............................. ❑ Yes Actual discharge to surface water.......................................................... e5 No.....:........................ ❑ Yes Accumulation of organic solids.............................................................. GCNo .............................. *Soil clogging.......................................... * ...................................................... No .............................. ❑ Yes ❑ Yes Odors that have the potential to be objectionable at or beyond the property bounds ....................................... ei No.............................. ❑ Yes Vectors (insects, rodents)....................................................................... 6 No ................................ ❑ Yes Documented observations requiring corrective action and corrective action taken (if applicable): Note. No valves are required as part of the land application operation. Wate/tinae: Lo -L120t q @ T -iv Signature: Ruben Ramirez Title: Operations Manager