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FORWARD LANDFILL <br />DAMY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Tenpperatuie:. 72 <br />Wind dir6ction: Wind speed: <br />Other relevant field conditions: <br />Evidence of erosion ................................................................................. ,,O --No ............................. <br />0 Yes <br />Berxiicondition ......................................................................................... -nGood ......................... <br />o Needs attention <br />Soilsaturation ............................................................................................ -No ............................... <br />0 Yes <br />Ponding......................................................................................................... 1;-N-0 ............................... <br />o Yes <br />Potential runoff to off-site areas ............................................................ 'ItTgo . .............................. <br />0 Yes <br />Potential discharge to surface water .................................................... -2150 .............................. <br />0 Yes <br />Actual discharge to surface water ......................................................... ........................ <br />E3 Yes <br />Accumulation of organic solids ............................................................... ff No .............................. <br />13 Yes <br />Soilclogging ................................................................................................ 0-110- ............................. <br />0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... 0-<O .............................. 0 Yes <br />Vectors (insects, Yes rodents) ..................................................... * .................. 13 <br />-,��o ..... ...•........... .*....... <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note. No valves are required ax part of the land z�Vkcafion operation. <br />lot <br />Date/time: 6LJAf1A,4- @ Signature: <br />Ruben Ramirez <br />Title. Operations Manager <br />