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Ah FORWARD LANDFILL <br />L <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge [acquirements Order No. ltS-2014-0006 <br />Weather conditions: r- � <br />E'rmEx ature: c? <br />Wind directimi: Wind speed: <br />[ AAA r ru�rti�innc• <br />M <br />Evidenceof erosion.................................................................................lal o..............................0 Yes <br />Hermcondition.......................................................................................... �-Good.......................... o Needs attention <br />Soilsaturation ............................................................................................. rlr o .............................. o Yes <br />Ponding....................................................................................................... .............................. o Yes <br />Potential runoff to off-site areas.............................................................v< .............................. o Yes <br />Potential discharge to surface water....................................................16-No .............................. o Yes <br />Actual discharge to surface water ........................................................ to. ............................. Cl Yes <br />Accumulation of organic solids.............................................................'o..............................0 Yes <br />Soilclogging............................................................................................ .. QD46 ............................. o Yes <br />Odors that have the potential to be objectionable at or <br />beyondthe property boundary ................................................................t�?��.............................. a Yes <br />Vectors (insects, rodents) .....................................................................-�6 No .............................. o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />;Vola. No rah rut, irqulnrl as patY a/'djr Iniad application aperatiou. <br />0 Signature: <br />Ruben Ramirez <br />Title: Operations Manager <br />