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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Ordet No. RS -2014-0006 <br />Weather conditions: <br />Temperature: <br />Wine! diriuctiom M Ur Wind sl,)ccd: "a <br />0dier relema field conditions: <br />Evidenceof erosion ..................................................................................... ............................. C3 yes <br />Bermcondition ............................................................................................. ca-6wd .......................... 0 Needs atteution <br />Soil saturation .................................................. <br />Ponding............................................................. <br />....................................Et ? I-0 .............................. 0 Yes <br />,,l!r.................. No .............................. 0 Yes <br />Potential runoff to off-sitc areas ........................................................... erNlo .............................. Lj Yes <br />Potential discharge to surface water ..................................................... 1:1-1Z .............................. 0 yes <br />Actual discharge to surface water ........................................................... a< .............................. 0 Yes <br />Accumulation of organic solids .............................................................. P -K) .............................. [3 yes <br />Soilclogging ................................................................................................. P-11-0---, ........................... C3 Yes <br />Odors that have the potential to be objectionable at or <br />be ond the property boundary y , y ................................................................ 9�0 ............................. 0 Yes <br />Vectors (insects, rodents) ..................................................................... Z. :- �- �0 ............................ o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Date/rime: 10 /j./Uj%-- y� ( LLO f - <br />Signature: <br />- <br />Ruben Ramirez <br />Title: Operations Manager <br />