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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPEC'T'ION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: 0 <br />Temperature: <br />perature: <br />Wand direction: J <br />Other relevant field conditions: <br />Wind speed: 6 -.iTr <br />Evidenceof erosion................................................................................... No .............................. ❑ Yes <br />Bermcondition...........................................................................................o'mood.......................... ❑ Needs attention <br />Soilsaturation...........................................................................................'n-No .............................. ❑ Yes <br />Ponding....................................................................................................... .. Id,_No .............................. ❑ Yes <br />ee, <br />Potential runoff to off-site areas............................................................ No .............................. ❑ Yes <br />Potential discharge to surface water...................................................ib No .............................❑ Yes <br />Actual discharge to surface water.......................................................... No .............................. ❑ Yes <br />Accumulation of organic solids.............................................................. .............................. ❑ Yes <br />Soilclogging................................................................................................o ....................... I...... ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary.............................................................. A No .............................. ❑ Yes <br />Vectors(insects, rodents)....................................................................... No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nate: No valves are required as furl of'the land application operation. <br />®llatc/time: 6 j�2o/2013" @-1.'[ b Signature: Title: Operations Manager <br />Ruben Ramire <br />