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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requiresnents Order No. RS -2014-0006 <br />Weather conditions: <br />Temperature: -9 <br />Wiiid direction- Wind speed. - <br />Other relevant Ficid conditions: <br />Evidenceof erosion .................................................................................. -ell 0 .............................. o Yes <br />Berm condition ............................................................................................. w5ood .......................... C3 Needs attention <br />Soilsaturation .............................................................................................. CrNo .............................. <br />o Yes <br />Ponding......................................................................................................... <br />et o .............................. <br />0 Yes <br />Potential runoff to off-site areas ............................................................�o <br />.............................. <br />0 Yes <br />Potential discharge to surface water ..................................................... <br />0-15TO .............................. <br />13 Yes <br />Actual discharge to surface water ........................................................... <br />Pa,15'o . .............................. <br />o Yes <br />AccietnUIRtion of organic solids .............................................................. <br />pil-0 .............................. <br />0 Yes <br />Soilclogging <br />.................................................................................................. <br />9c'� ............................. <br />0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the prop" boundary ................................................................ <br />P-11-0 .............................. <br />0 Yes <br />Vectors (insects, rodents) ......................................................................... pIrro .............................. <br />0 Yes <br />Documented observations requiring corrective action and corrective action taken (if -applicable): <br />Nolu. No mlivs air nqvimlasfurl y*lhe landapplit-alioo operalion. <br />J11W Signatur, Title: Operations Manager <br />Ruben Ramirez <br />