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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: uo"E <br />Wind direction: ovi Wind speed: 10 <br />Other relevant field conditions: to on AA1%_1 <br />Evidence of erosion .............................................. ................................ gNo.............................. <br />Ei Yes <br />Bermcondition ........................................................................................... <br />eGood ......................... <br />. Z: Needs attention <br />Soilsaturation ............................................................................... _ ............ <br />0 .............................. <br />0 Yes <br />Ponding......................................................................................................... <br />0/No .............................. <br />c Yes <br />Potential runoff to off-site areas ............................................................. <br />L/N 0 .............................. <br />1: Yes <br />Potential discharge to surface water ..................................................... RNo .............................. <br />o Yes <br />Actual discharge to surface water .......................................................... <br />2/N o .............................. <br />0 Yes <br />Accumulation of organic solids .............................................................. <br />EANo .............................. <br />ii Yes <br />Soilclogging ........................................................ ....................................... <br />"10.............................. <br />0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... oNo .............................. <br />13 Yes <br />Vectors (insects, rodents) ....................................................................... "0 .............................. <br />0 Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />10/t <br />Note: ATo valves are nqyurd as part of the land application operation. <br />Date/rime: 7 store: Operations Manager <br />Sign Tide <br />Ruben Ramirez <br />