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FORWARD IANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. RS -2014-0006 <br />Weather conditions: <br />Temperature: (000;: <br />Wind direction: P) W Wind speed: 10A44 <br />Other relevant field conditions: 15 <br />Evidenceof erosion ................................................................................ _ 9 No .............................. <br />o Yes <br />Bermcondition ..................... ..................................................................... <br />/Good ......................... <br />0 Needs attention <br />Soilsaturation .............................................................................................. <br />. ZKNO .............................. <br />❑Y es <br />Ponding......................................................................................................... <br />No .............................. <br />o. Yes <br />Potential runoff to off-site areas ............................................................. <br />VNo .............................. <br />E] Yes <br />Potential discharge to surface water ..................................................... <br />VNO .............................. <br />M Yes <br />Actual discharge to surface water .......................................................... <br />R(INO .............................. <br />0 Yes <br />Accumulation of organic solids .............................................................. <br />9/-N. o .............................. <br />Yes <br />Soilclogging ................................................................................................ <br />WN0 ............................... <br />❑ Yes <br />Odors that have the potential to be objectionable at or <br />Yes <br />beyond the property boundary ............................................................... <br />M No .............................. <br />E] <br />Vectors (insects, rodents) ....................................................................... <br />1z `N_ 0.............................. <br />C Yes <br />,Note: lVo valves are required as pari of the land application operation. <br />Date/time: Rod Signature: <br />@ 0 710 Tide: Operations Manager <br />Ruben rez _1// <br />