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FORWARD LANDFILL <br />• DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: "! n <br />Temperature: l <br />Wind direction: F�- <br />Other relevant field conditions: <br />Evidence of erosion .............. <br />Berrien condition ...................... <br />Soil saturation ................ <br />Wind speed: 6— <br />.................................................................... Ef No .----...................•..... _o Yes <br />----••--•---•......................................•••.............. ZGood ......................... ❑ Needs attention <br />• <br />.......................................... .............................. ❑Yes <br />Ponding................................................................•••-•-----•--•----- <br />Potential runoff to off --site areas ........................................ <br />Potential discharge to surface water ................................ <br />Actual discharge to surface water ................ <br />..................... zo <br />o ............................... ❑ Yes <br />..................... _--------.-..---------.-----. ❑ Yes <br />..................... cN ❑ Yes <br />... �....... `................... <br />................ No . ❑Yes <br />Accumulation of organic solids .............................................................. I N .............................. o Yes <br />Soilclogging.................••--•----...............:-•--•-................................................ d No .............................. ❑ Yes. <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary...............................................................No .............._.....----..... ❑ Yes <br />Vectors (insects, rodents)...............................................:........................ 70 ............................... ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves are requdred as part of the land appkcatdon operation. <br />• Date/time: t�/� 2n l �1' @ `t , 60 Signature: Title: Operations Manager <br />Ruben Ramirez <br />