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C <br />FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Rcquiresnents Order No. R5-7014.0006 <br />Weather conditions: <br />Temperature: <br />With.! direction: N w <br />( flier relevant field conditions: <br />Wind speed: G <br />Evidenceof erosion.....................................................................................d-No .............................. o Yes <br />Bermcondition............................................................................................�od..........................0 Needs :attention <br />Soilsaturation.............................................................................................:12�o .............................. Q Yes <br />Ponding.........................................................................................................451ro .............................. o Yes <br />Potential runoff to off-site areas..............................................................tTl o .............................. Q Yes <br />Potential discharge to surface water...................................................gib,-NNo .............................. o Yes <br />Actual discharge to surface water........................................................`"1:] No..............................o Yes <br />Accumulation of organic solids.............................................................. t*►'Tci0 ..............................o Yes <br />Soilclogging................................................................................................. oo .............................. o Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ................................................................ T5190 .............................. o Yes <br />Vectors (insects, rodents)......................................................................i6 I fo .............................. o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Mole: No vab n% are regaaird as part of /fie /and appheafton operation. <br />as <br />Date,'tiine: !VIII 1&tb„— a? oS'laturetitle: Operations Manager <br />n arnircz <br />