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FORWARD LANDFILL 0 <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requiresnents Order No. R5-2014-0006 <br />Weather conditions: <br />Ternpurature: <br />Wind direction: Wind speed: <br />(h her relevant field conditions: <br />Evidenceof erosion ................................................................................... . jar'14'o .............................. o Yes <br />Bermcondition ............................................................................................ od .......................... 0 Needs attention <br />Soilsaturation ............................................................................................... W'. O.............................0 Yes <br />Ponding......................................................................................................... PKo .............................. <br />C3 Yes <br />Potential runoff to off-site areas ............................................................. <br />0 -fro ............................. <br />C3 Yes <br />Potential discharge to surface `nater <br />...................................................... cl i0................................ <br />to Yes <br />Actual discharge to surface water .......................................................... <br />6--N-0 ............................ <br />0 Yes <br />Accumulation of organic solids .............................................................. <br />b No .............................. <br />o Yes <br />Soilclogging .................................................................................................. <br />t:, --N 0 ..............................0 <br />Yes <br />Odors that have the potential to be objectionable at or <br />beyondthe property boundary ................................................................ 0 -Mo .............................. 0 Yes <br />Vectors (insects, rodents) ........................................................................ 0-5ro ............................ 0 Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />INJole.- No Palsair irqldird as part oj'lbe laod applicaMe.1t operaden. <br />Date/tirne: 1011-Clal-*Lfj (a) Signature: <br />Rubexa Ramirez <br />'title: Operations Manager <br />