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DAILY PRE -APPLICATION INSPECTION ION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: P <br />l cern Pc of tore: 6 <br />Wind direction: Wind speed: <br />t Cher relevant field conditions: <br />Em <br />Evidenceof erosion................................................................................. o.............................. o Yes <br />Bcrmcondition.............................................................................................e3'000d..........................0 Needs attention: <br />Soilsaturation...............................................................................................0 go .............................. 0 Yes <br />Ponding.......................................................................................................f Ifo .............................. t:1 Yes <br />Potentialrunoff to off-site areas............................................................ pono..............................0 Yes <br />Potential discharge to surface water....................................................r6 Ng�o .............................. a Yes <br />Actual discharge to surface water.......................................................... tll-fio .............................. o Yes <br />Accumulation of organic solids .............................................................. tl'*No .............................. o Yes <br />Soilclogging...............................................................................................01e!! 0 .............................. a Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary .................................................................et'4T0 .............................. o Yes <br />Vectors (insects, rodents).......................................................................s-e-?4'0 .............................. o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No nalrrs an irgaind ar par! of I& land application opendion. <br />lkttc!timc: to /t3 / t (C:) 7: b Signature: <br />® _ Ruben Ramirez <br />Title: Operations Manager <br />