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FORWARDIANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: V <br />Texnperatuxe: <br />'Mnd direction: <br />Other relevant field conditions: <br />Wind speed. <br />Evidenceof erosion .................................................................................... P'no .............................. 0 Yes <br />Berm condition ........................................................................................... geGood ......................... 0 Needs attention <br />Ponding.......................................................................................................... P140 .............................. *. 0 Yes <br />Potential runoff to off-site areas ............................................................ - <br />,;YNO .............................. 13 Yes <br />Potential discharge to surface water ........... <br />Actual discharge to surface water ..................... <br />PrIN"o .............................. 0 yes <br />Z <br />............ 0 No .............................. 0 Yes <br />Accumulation of organic solids .............................................................. ffl'NO .............................. C3 Yes <br />clogging.......................................... ....................................................... pIfio ............................... C3 yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... f -(No ............................... 0 yes <br />Vectors (insects, rodents) .......................................................................Jal&o ........................ * ....... 0 Yes <br />"I 111 11111111 11111111�11111111 <br />Note. No valves are required as part of the land application operation. <br />Date/time: Title: Operations M-Miger <br />Ruben Ramirez <br />0 <br />