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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. RS -2014-0006 <br />Weather conditions: <br />Temperature: &'Sar- -_ <br />Wind direction: QVJ wind speed. 5 M&?)8 <br />Other relevant field conditions: 15 1) VIA 14 <br />Evidenceof erosion .......................................... ........................................ <br />8 / No .............................. 11 Yes <br />Berm condition ................ ............. ...................................... <br />WGood ......................... <br />ro, Needs attention <br />Soil saturation .................. ............................................................................ <br />. �� <br />N 0 .............................. <br />. 7 Yes <br />Ponding................................................................................. ....................... <br />@i(No .............................. <br />0 Yes <br />Potential runoff to off-site areas ............................................................. <br />IdNo .............................. <br />11 Yes <br />Potential discharge to surface water ..................................................... <br />Ef'No ................. ............ <br />. 0 Yes <br />Actual discharge to surface water .......................................................... <br />e No .............................. <br />E: Yes <br />Accumulation of organic solids .............................................................. <br />'o.............................. 01 Yes <br />�N <br />Soilclogging .................................................... ........................... ............... <br />2' 0 1 ............................. <br />0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the prop" boundary ....................................................... ... <br />.. ... <br />No .............................. <br />11:3 Yes <br />Vectors(insects, rodents) ....................................................................... <br />/INo.........---.................. <br />o Yes <br />Documented observations requiring corrective action and corrective action taken (if <br />applicable): <br />#JIA- <br />Note: No valves are 7-quired rvd as part of the land application operation. <br />/7 <br />Date/time I/ /Z0A <br />@ 0 70 Signature: 94� AA4.Title: Operations Manager <br />Ruben Ramirez 7 <br />