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FORWARD LANDFILL <br />® DAILY.' PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: 6 <br />Temperature: _ <br />Wind direction: -_ <br />Other relevant field conditions: <br />Wind speed: 6 mgyj <br />Evidenceof erosion................................................................................... ......................... ❑ Yes <br />Bermcondition............................................................................................ cSGood.......................... ❑ Needs attention <br />Soilsaturation.............................................................................................. cryo .............................. ❑ Yes <br />Ponding......................................................................................................... �o .............................. ❑ Yes <br />Potential runoff to off-site areas............................................................. 7<00 .............................. ❑ Yes <br />Potential discharge to surface water ..................................................... 2T No .............................. ❑ Yes <br />Actual discharge to surface water ......................................... I................ P'Ko .............................. ❑ Yes <br />Accumulation of organic solids..............................................................P4o .............................. ❑ Yes <br />Soilclogging................................................................................................. jdNo .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................�o .............................. ❑ Yes <br />Vectors (insects, rodents)........................................................................ � ..................... <br />I........ <br />❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />.Note: No wbes an, required asearl of 'tlje land application operation. <br />® <br />Date/time: G /z3/z�1 @ `t Signature: Title: Operations Manager <br />Ruben Ramirez �f:2 <br />