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0 FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. RS -2014-0006 <br />WeatIaer conditions: <br />Temperature: <br />Wind direcdon:^ _ —' Wind speed: <br />(hher relcvmit field conditions: <br />Evidenceof erosion.................................................................................-B Iqo .............................. o Yes <br />Bernscondition........................................................................................... p<o-od .......................... ❑ Needs attention <br />Soilsaturation............................................................................................... ego- .............................. <br />o Yes <br />Ponding......................................................................................................... <br />1: 1-90 .............................. <br />o Yes <br />Potential runoff to off-site areas............................................................. <br />:.--' .............................. <br />a Yes <br />Potential discharge to surface water.....................................................5 i 10-..............................o <br />Yes <br />Actual discharge to surface water........................................................... <br />[S N/o .............................. <br />o Yes <br />Accumulation of organic solids............................................................... 6 -No .............................. <br />a Yes <br />Soilclogging........................................................................... ........... No............. ............0 <br />Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................ <br />tT1No-................................ <br />n Yes <br />a <br />Vectors (insects, rodents)........................................................................ <br />No .............................. <br />o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />No/e: No rur/nea• are rrglrirrd as part of'J1Ye /arid application operation. <br />A4 <br />��� <br />Dauc!timc: l d 1 %f/,VE (u) 7: end Signature: <br />Ruben Ramirez <br />'Title: Operations Manager <br />