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FORWARD LANDFILL <br />DAMY PRE-AMICATION INSPEMON FORM <br />Waste Discharge Requirements Order No. RS -2014-0006 I <br />Weather conditions: <br />Tcffiperature: <br />Wind direction: Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion .................................................................................... two .............................. 0 yes <br />Serino, condition ........................................................................................... 9'tood ......................... c3 Needs attention <br />goi-I saturation ............................................................................................... ONO .............................. 0 Yer <br />ponding....................... I ......................................... I ....................................... PlIf-40 ............................. :Oyes <br />Potential runoff to off-site areas ............................................................. ;YNO .............................. C3 yes <br />Potential discharge to surface water .................................................... PINO .............................. 0 yes <br />Actual discharge to surface water .......................................................... ;2KNO .............................. 0 yes <br />Accumulation of organic solids .............................................................. )0"No .............................. 0 Yes <br />4kclogging ....................... : ............................................................... ** .... .,-,,012rf-To .............................. 0 yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... iz(No ....... * ....................... Q Yes <br />Vectors (insects, rodents) ....................................................................... fi&O ............................... E3 Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note. No valves are requirrd as part of the land appficafion operation. <br />Date/timelAz) 16 TOO Signature: <br />, Ruben Ramairez Tide: Operationser <br />s Manig <br />