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FORWARD DFILL <br />® DAILY PRE -APPLICATION INSPECTION FORINT <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: q D <br />'T'emperature: <br />Wind direction: c�1 �- Wind speed: i 0A k <br />Other relevant field conditions: <br />Evidenceof erosion.................................................................................:. 14:' i. o .............................. ❑ Yes <br />Bermcondition............................................................................................�od.......................... Q Needs attention <br />Soilsaturation.............................................................................................1J2rN_o ..... I........................ a Yes <br />Ponding......................................................................................................... `r''`te" .............................. ❑ Yes <br />Potential runoff to off-site areas.............................................................O'No .............................. ❑ Yes <br />Potential discharge to surface water ..................................................... oeN ........................ ❑Yes <br />Actual discharge to surface water.......................................................... Flil"o .............................. ❑ Yes <br />Accumulation of organic solids.............................................................. ty1�o .............................. ❑ Yes <br />® Soil clogging ..................... ....... KNo ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyondthe property boundary................................................................ 1" .............................. ❑ Yes <br />Vectors(insects, rodents) ............................................. I.......................... No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole: No valves are requind as part oJ'the land application operation. <br />isDate/time://6/°2� Signature: Aq Title: Operations Manager <br />Ruben Ramirez <br />