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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: <br />Other relevant field conditions: <br />Wind speed - 6` <br />Evidence of erosion ..... 6 No ...............................❑ Yes <br />Berm condition ............................................. ........-•--•---._..._............_.__..._....7No <br />......................... ❑ Needs attention <br />Soilsaturation..--•................................................................................................................... El Yes <br />Ponding............................•-•---....•...•......................................---•••......•-•-•.......zo <br />/..............•..-•---... ❑ Yes <br />Potential runoff to off --site areas....................................................................................... ❑ Yes <br />Potential discharge to surface water ....:................................................ zo.-* <br />...................•.•.... ❑ Yes <br />Actual discharge to surface water................................................................._.................. ❑ Yes <br />iNo <br />N ............................. ❑ Yes <br />Accumulation of organic solids..............................................................- <br />Soilclogging................................................................................................ .............................. ❑ Yes. <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ..............................•...... -•••....................../No .......................... ❑ Yes <br />Vectors (insects, rodents).....................................................=-••............... ❑ 0 .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves are required as pari of the land application operation. <br />•Date/time:/_tJdol @ 7 ,ID Signature: Title: Operations Manager <br />uben Ramirez <br />