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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />• <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions:!V <br />Temperature: 5 <br />Wind direction: 1 Wind speed: 10 &A <br />()tliLr relevant field conditions: <br />Evidenceof erosion ..................................................................................... 0---N-o .............................. o Yes <br />Beancondition ............................................................................................ gGood .......................... 0 Needs Attention <br />Soilsaturation .............................................................................................. P�' o .............................. <br />0 Yes <br />Ponding......................................................................................................... <br />ful"N'o ............................. <br />0 Yes <br />Potential runoff to off-site areas ............................................................ <br />e6 --No .............................. <br />0 Yes <br />Potential discharge to surface water ................................................... <br />ZNo I .............................. <br />0 Yes <br />Actual discharge to surface water ......................................................... <br />I-ET90 .............................. <br />0 Yes <br />Accumulation of organic solids .............................................................. olf�o .............................. [3 Yes <br />Soilclogging ................................................................................................. 6 --No .............................. o Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ................................................................ a"90 .............................. 0 Yes <br />Vectors (insects, rodents) ........................................................................ Zo ............................. 0 Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />]Note: No iialves an required as earl oj'the land app#caiion operation. <br />Date/time: 6 /n/A,,d5—@ <br />-M�C Signature: 10,MAJI�2 I Af. A V -V- Tide: Operations Manager <br />Ruben Ramirez I--,' <br />0 <br />0 <br />