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I WQ.Z�7�fi1 <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: <br />Wind direction: — Wind speed - <br />Other relevant field conditions:a_ <br />Evidenceof erosion.................................................................................... dNo .............................. ❑ Yes <br />Berm condition ......................... .......(3"Good .......................... ❑ Needs attention <br />...................................... ...................... <br />Soilsaturation.............................................................................................. dNo .............................. ❑ Yes <br />Ponding......................................................................................................... <br />d No <br />.............................. ❑ Yes <br />Potential runoff to off-site areas............................................................. <br />YNo <br />.............................. ❑ Yes <br />Potential discharge to surface water ..................................................... <br />cl/No.............................. <br />❑Yes <br />Actual discharge to surface water.......................................................... <br />o/No <br />.............................. ❑ Yes <br />Accumulation of organic solids ............................................... ............... <br />r/No <br />.............................. ❑Yes <br />Soilclogging....................................................................... .... <br />m/No <br />.............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyondtheproperty boundary ................................................................ <br />dNo <br />.............................. ❑ Yes <br />Vectors (insects, rodents)........................................................................ <br />[/No <br />.............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />eNote. No valves are required as part of the land application operation. <br />Date/time: 1{ /19/ aGi� @ 07 Signature: Title: Environmental Manager <br />Erin Fanningi <br />