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DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: <br />Wind direction: Wind speed: P 't <br />Other relevant field conditions: P 18 <br />Evidenceof erosion.................................................................................... <br />�To .............................. <br />❑ Yes <br />Bermcondition............................................................................................ <br />�/ ood.......................... <br />❑ Needs attention <br />Soilsaturation.............................................................................................. <br />CIAO .............................. <br />❑ Yes <br />Ponding......................................................................................................... <br />V91Na .............................. <br />❑ Yes <br />Potential runoff to off-site areas............................................................. <br />� ® .............................. <br />❑ Yes <br />Potential discharge to surface water ..................................................... <br />Ep0 .............................. <br />13 Yes <br />Actual discharge to surface water.......................................................... <br />AO .............................. <br />❑ Yes <br />Accumulation of organic solids.............................................................. <br />;X0 .............................. <br />❑ Yes <br />Soilclogging................................................................................................ <br />C31-14 .............................. <br />❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyondthe property boundary ................................................................ <br />dNNo .............................. <br />❑ Yes <br />Vectors(insects, rodents)........................................................................ <br />f5 No .............................. <br />❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />PW <br />Note: No valves am trgxred as para of the land application operation. <br />0 <br />Date/time: 2 / i @ D o Signature: _ivm Title: Environmental Manager <br />Erin Fanning <br />