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FORWARD IAF <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />ah <br />Temperature: y <br />Wind direction: 1U k1 <br />Other relevant field conditions: <br />Wind speed: ,.2: Im A <br />Evidence of erosion.......................................................................... <br />Serriacondition...................................................................•---.....••.... <br />Soil saturation.... <br />... . <br />Potential runoff to off-site areas ............................. <br />Potential discharge to surface water ............................................ <br />Actual discharge to surface water ................................................. <br />Accumulation of organic solids ..................................................... <br />Soil clogging ................................ <br />......... 6 No ........• ......................❑ Yes <br />......... od ......................... ❑ Needs attention <br />.......... o .............................. ❑Yes <br />......... ��Nc..............:............... ❑ Yes <br />......... Zo <br />❑ Yes <br />......... ............................ o Yes <br />......... M No ....:.. `.................... ❑ Yes <br />......... o ............................❑Yes <br />......... No ......................•....... ❑ Yes. <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary............................................................... ❑ iNlo ............................. ❑ Yes <br />Vectors (insects, rodents)..............•--••---••---.......---..............--••................No.............................. ❑ 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/time: /o //s/ @ 7i( Signature:e: Operations Manager <br />ubentam ' ez <br />