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FORWARD IANDFILL <br />Am <br />1W DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: 10'F_ <br />Wind direction: Ig I A- Wind speed: <br />Other relevant field conditions: <br />Evidiuvice of erosion ................................................................................... iao .............................. El Yes <br />Bermcondition ........................................................................................... WGood ......................... o Needs attention <br />Soilsaturation .............................................................................................. dNo . ............................. 0 Yes <br />Pondin. ......................................................................................................... ZNo .............................. 0 Yes <br />Potential runoff to off-site areas ............................................................. P(No ......................... 0 Yes <br />Potential discharge to surface water ..................................................... KNo .............................. 0 Yes <br />Actual discharge to surface water .......................................................... arNo .............................. 0 Yes <br />Accumulation of organic solids .............................................................. VNo ............................... 11 Yes <br />Soilclogging ................................................................................................ t�'No .............................. C] Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ...............................................................&No .............................. 1:1 Yes <br />Vectors (insects, rodents) ....................................................................... /No .............................. F -i Yes <br />-x I+ - '­ . . . - <br />Note: No valves are required as' part of the land application operation. <br />0 el Z <br />Date/time: j_IL+12JO�L @ QJ 10 Signatare: ..p . . . . . . 4- 4 Tide: Operations Manager <br />Ruben Ramirez <br />