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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 />Teinperature: <br />Wind direction: �. <br />Other relevant field conditions: <br />RE <br />Evidence of erosion...................................................................................r6 No .............................. 0 Yes <br />Bermcondition............................................................................................ m-ood .......................... ❑ Needs attention <br />Soilsaturation............................................................................................. No .............................. ❑ Yes <br />Ponding.........................................................................................................p'<o .............................. 0 Yes <br />Potential runoff to off-site areas............................................................. Z No .............................. ❑ Yes <br />Potential discharge to surface water....................................................!6 No .............................. ❑ Yes <br />Actual discharge to surface water.......................................................... ego .............................. ❑ Yes <br />Accumulation of organic solids............................................................. tp o .............................. ❑ Yes <br />Soil clogging ................ ......... No ......... o Yes <br />........................................................................ ..................... <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................... I ................. ETgo .............................. ❑ Yes <br />Vectors (insects, rodents)....................................................................... No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note. No whvs am mquired as part of *the land application operation. <br />Date/titne: 6 / A -w- @ 110 Signature: Title: Operations Manager <br />Ruben Ramirez <br />• <br />