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FORWARD IANDFELL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions:�` o <br />Temperature: <br />Wind direction: Wind speed: <br />Other relevant field conditions: <br />Evidence of erosion...............................•--................................ <br />Soil saturation...... <br />Ponding...--••---•--•-•--•-•---•..............................•-------......... •--.--... <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 />................. d No�............................... <br />................. &-tood ......................... <br />................ No .............................. <br />................. Cyo . ....................... <br />................. d No .............................. <br />•................ YS No .............................. <br />................. No 1111 ........................ <br />o Yes <br />o Needs attention <br />a Yes <br />0 Yes <br />o Yes <br />o Yes <br />o Yes <br />................. [2'N o 1111.................-----.... <br />o Yes <br />.........1.11.1.. ................ <br />o Yes - <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary............................................................... a'N_ o....'......................... o Yes <br />Vectors (insects, rodents)........................................................................ Q Plo.....:.....-•---........ <br />1111.. ❑Yes <br />Documented observations requiring corrective action and corrective action taken. (if applicable): <br />Note: No valves are regmired as part of the land application operation. <br />Date/tinge: fU .V/,�'� @ ; tb Signature:U' Tide: Operations Manager <br />Ruben Ramirez <br />