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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: ti Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion ..................................................................................... . 05 No .............................. o Yes <br />Bermcondition ............................................................................................ eGood .......................... o Needs attention <br />Soilsaturation ..................................... ; ........................................................ 1;1,1<0 .............................. 0 Yes <br />Ponding........................................................................................................ xd'No .............................. 13 Yes <br />Potential runoff to off-site areas ............................................................ . il-&-o .............................. o Yes <br />Potential discharge to surface water .................................................... d'N_o .............................. 0 Yes <br />Actual discharge to surface water .......................................................... e<o .............................. o Yes <br />Accumulation of organic solids ............................ ' .................................. /0"No .............................. 0 Yes <br />Soilclogging ................................................................................................. 6"No .............................. 0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ................................................................ P -<O .............................. 0 Yes <br />Vectors (insects, rodents) ........................................................................ p .............................. 0 Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole: No valves am required as purl of *the land application operation. <br />Datc/time:ture: A�t4 Adg�,�� <br />!QL—T–@ Signa Title: Operations Manager <br />Ruben Ramirez <br />E <br />E <br />