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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: � (� <br />Wind direction: LJ F— Wind speed: 3 a+pk <br />()ther relevant field conditions: <br />Evidence of erosion.................................................................................... e'No .............................. o Yes <br />Bermcondition............................................................................................i Good..........................❑ Needs attention <br />Soilsaturation.............................................................................................. [ <0 .............................. o Yes <br />Ponding......................................................................................................... dNo .............................. ❑ Yes <br />Potential runoff to off-site areas..............................................................W'1Vo .............................. ❑ Yes <br />Potential discharge to surface water ...................................................... o .............................. o Yes <br />Actual discharge to surface water..........................................................u-No .............................. o Yes <br />Accumulation of organic solids.............................................................. <br />ca'No .............................. ❑ Yes <br />Soilclogging................................................................................................. d No .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................ /No....,......................... ❑ Yes <br />Vectors (insects, rodents)........................................................................ o .............................. o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole: No valves are required as part of'tbe land application operation. <br />® tiatcititr�e: /L7/ ct?-JW ? Signature: <br />Ruben Ramirez <br />Operations Manager <br />