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FORWARD INFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />ltd <br />Temperature: <br />Wind direction: Wind speed: <br />Other relevant field conditions: <br />Evidence of erosion ...... d No...............................o Yes <br />Betm condition..........................•.........................................._....._.............._ 6 Good ......................... o Needs attention <br />Soilsaturation--•................•-••----.........................................----....._.........._.....No--------------•--------------- Q Yes <br />Ponding......................•--.......................................---..........................------......o.._._......................._. o Yes <br />Potential runoff to off --site areas ............................................. <br />................o ..._.........._........._..... ❑Yes <br />Potential discharge to surface water ....:................................................ Q c ......................_....... o Yes <br />Actual discharge to surface water.......................................................... E7No .............................. o Yes <br />Accumulation of organic solids..............................................................No ............_................ o Yes <br />Soil clogging........................•--•...... <br />--•--..:..._.......-•--•....................................•- o.............----............. o Yes - <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary...............................................................N-----..........---•-----...... a Yes <br />Vectors (insects, rodents)..............................................................----:...... Nc ............................... o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves are required as part of the land application operation. <br />Date/tithe: Ie: if @'71,/ Signature: Title: Operations Manager <br />Ruben Ramirez <br />