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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: a <br />Temperature: <br />Wind direction: Wind speed: . p�. , Pk <br />Other relevant field conditions: <br />]Evidence of erosion ....................................:............................................ ............................. o Yes <br />Berm condition..........................................................................................:eif-Good .................. © Needs attention <br />Soilsaturation...............................................................................:.....I........,ElNo ............................ o Yes <br />...................................................................................... o... <br />Ponding ................. .. ...........................©Yes <br />Potential runoff to off-site areas..................................................................................... o Yes <br />Potential discharge to surface water .................................................... -0-150 ...........................❑ Yes <br />Actual discharge to surface water........................................................"a :............................. ❑ Yes <br />Accumulation of organic solids..............................................................E N -o .o Yes <br />............................. <br />clogging ................ <br />................................................................................. f 5_1 0 ............................. o Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary.......................................................................................... o Yes <br />Vectors (insects, rodents) .......................................................................P_ o ff......................... aYes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nobe: No values are regidmd as par! oj'the land appkcatzon operation. <br />qlate/time: I/)S/@ 7Signature: <br />Title: Operations Manager <br />Ruben Ramirez <br />