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FORWARD LANDFILL <br />DAILY PILE -APPLICA'T'ION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: . (o 5 ® __ <br />Wind direction: 91-- <br />0deer relevant field conditions: <br />Wind speed: b- <br />Evidenceof erosion...................................................................................fig No .............................. a Yes <br />Bermcondition...........................................................................................,e l'Good.......................... ❑ Needs attention <br />Soilsaturation..............................................................................................�o .............................. ❑ Yes <br />Ponding..........................................................................................................rN0 .............................. ❑ Yes <br />Potential runoff to off-site areas..............................................................�No .............................. ❑ Yes <br />Potential discharge to surface water ..................................................... �o .............................. ❑ Yes <br />Actual discharge to surface water.......................................................... x f' o .............................. ❑ Yes <br />Accumulation of organic solids.............................................................. OINo .............................. ❑ Yes <br />Soilclogging.................................................................................................X 40.1............................ ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................ c?, -<o .............................. ❑ Yes <br />Vectors (insects, rodents)........................................................................ b No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No wlivj are nq;v red as parl of'Lhe land application operation. <br />0 Datc/tirne: L/ 1244 @ —11t.) Signature: <br />/3-4 <br />�itle: <br />Ruben Ramirez <br />Operations Manager <br />