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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: �7 Cl)Temperature: t <br />Wind direction: 'ET Wind speed: <br />Other relevant field conditions: <br />UZ <br />Evidenceof erosion................................................................................... e'I51; .............................. ❑ Yes <br />Benda condition............................................................................................e-1600d ......................... ❑ Needs attention <br />Soilsaturation............................................................................................ �o .............................. ❑ Yes <br />Ponding.........................................................................................................�o .............................. ❑ Yes <br />Potential runoff to off-site areas ............................................................ a-5-0 .............................. ❑ Yes <br />Potential discharge to surface water.....................................................No.............................. ❑ Yes <br />Actual discharge to surface water.......................................................... � ..... :........................ ❑ Yes <br />Accumulation of organic solids ............................................... <br />oilclogging ................................................................................. <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................. <br />Vectors (insects, rodents)...................................................... <br />.............................. ❑ Yes <br />.....1a,?do.............................. ❑ Yes <br />....e No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves are required as part of the land application operation. <br />fZAW �111 <br />A4 <br />ate/time: ��/20{ @ 7 `-o 0 Signatate: Title: Operations Manager <br />Ruben Ramirez <br />