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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 />, <br />Temperature: 69 <br />Wind direction: e- Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion .................................................................................... 0<0 .............................. 0 Yes <br />Bermcondition ....................................................................... .................. tTtood .......................... o Needs attention <br />Soilsaturation .............................................................................................. ca -14.1 o .............................. o Yes <br />Ponding.......................................................................................................... 014'0 .............................. <br />0 yes <br />Potential runoff to off-site areas .............................................................. <br />ff--No .............................. <br />o Yes <br />Potential discharge to surface water <br />..................................................... 6-NIO .............................. <br />0 Yes <br />Actual discharge to surface water ........................................................... <br />Eft --No .............................. <br />o Yes <br />Accumulation of organic solids .............................................................. <br />.............................. <br />0 Yes <br />Soilclogging ................................................................................................. <br />X-N'o .............................. <br />o Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ................................................................ 7160 .............................. 0 yes <br />Vectors (insects, rodents) ........................................................................94o .............................. o Yes <br />" <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves am reqxind as part qJ*1be land application operation. <br />Date/time: Signature: Title: Operations Manager <br />Ruben Ramirez <br />E <br />