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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 />Temperature: <br />Wind direction: S <br />O ier relevant field conditions: <br />Wind speed: '5 ±L E. 6 <br />Evidenceof erosion...................................................................................A'No .............................. ❑ Yes <br />Berm condition......................................................................................... r 6 Good.......................... o Needs attention <br />Soilsaturation..............................................................................................,llGo ............... I.............. ❑ Yes <br />Ponding........................................................................................................,�To .............................. ❑ Yes <br />Potential runoff to off-site areas............................................................. r�To ........... I ..... I............ ❑ Yes <br />Potential discharge to surface water.....................................................�o .............................. ❑ Yes <br />Actual discharge to surface water..........................................................zrl'To ..............................❑ Yes <br />Accumulation of organic solids.............................................................'R�o .............................. ❑ Yes <br />Soilclogging................................................................................................. No .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary...............................................................t6 No .............................. ❑ Yes <br />Vectors (insects, rodents)........................................................................4No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valve• are required aspari of the land application operation. <br />Date/tithe: 6 Jy/g&�� %- Signature: 11 Title: Operations Manager <br />Ruben Ramirez 0 <br />