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FORWARD LANDFELL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: "5 1 0<'- <br />Wind direction: <br />Other relevant field conditions: <br />Wind speed- . �- <br />Evidenceof erosion ..................................................... ............................. dNo .............................. 0 Yes <br />Bermcondition ................................................ .......................................... d Good ......................... o Needs attention <br />Soilsaturation .............................................................................................. C:VN-"o ............................. 0 Yes <br />Ponding......................................................................................................... C30N<O ........................... 11 Yes <br />Potential runoff to off-site areas .............................................................. Oe N--0 ............................. 11 Yes <br />Potential discharge- to surface water .............. <br />Actual discharge to surface water. <br />Accumtdation of organic solids ............. <br />Soil clogging ................................................ <br />....... I .................. 0410 ............................. 0yes <br />......................... 0.....:......---............... 0 Yes <br />......................... ig No .............................. 0 Yes <br />......................... ............................. o Yes. <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................ <br />Vectors (insects, rodents) ............................................... <br />.................... L;�� ............................. 0 Yes <br />................... Ao .. ...................... 0 Yes <br />Documented observations requiting corrective action and corrective action taken (if applicable): <br />1\Tote. No valves are required as part of the land application operation. <br />2 <br />Date/time: Signature: A'—ZI.- Title: Operations Manaiger <br />Lo 9 R -11 - @ 'I " (Q - <br />I Ramirez <br />Ruben. n., r C z <br />