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FORWARD IANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Tempeiaturc: <br />Wind direction: Wind speed: :5 <br />Other relevant field conditions: <br />Evidenceof erosion ................................................................................... ZNo .............................. o Yes <br />Berm condition ........................................................................................... 2-C' 37ood .......................... o Needs attention <br />Soilsaturation .............................................................................................. d -No .............................. o Yes <br />Ponding.......................................................................................................... 2KO .............................. o Yes <br />Potential runoff to off-site areas .............................................................. C"No .............................. 0 Yes <br />Potential discharge to surface water ....................................................... 6 No .............................. o Yes <br />Actual discharge to surface water ............................................................ C2440 .............................. 0 Yes <br />Accumulation of organic solids ............................................................. E'r-90 •............................. 13 Yes <br />Soil clogging ................................................................................................. j2r'g <br />r..... .............................. 0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... X<o .............................. 0 Yes <br />Vectors(insects, rodents) ........................................................................ o - <o .............................. o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />. I <br />NJ I A <br />Noce: No valves am requited asparl #J -the land application operation. <br />hate/time: 6 IL511615 @7� Signature: i Title: Operations Manager <br />Ruben Ramirez 0 <br />