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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: <br />Wind direction: Wind speed: is <br />Other relevant Field conditions: <br />Evidenceof erosion .................................................................................... n No .............................. <br />c Yes <br />Berm condition ........................................................................................... <br />dGood ......................... <br />7- Needs attention <br />Soilsaturation ...... ............................................. ......................................... <br />........................ <br />El Yes <br />Ponding.......................................................................................................... <br />No...................----....... <br />C Yes <br />Potential runoff to off-site areas .............................................................�No <br />.............................. <br />E Yes <br />Potential discharge to surface water ..................................................... <br />.............................. <br />F_ Yes <br />Actual discharge to surface water .......................................................... <br />, ............................. <br />El Yes <br />Accumulation of organic solids .............................................................. <br />Soilclogging ................................................................................................ <br />ZN o .............................. <br />;2r <0 .............................. <br />El Yes <br />F Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... o....---....................... C Yes <br />Vectors (insects, rodents) ....................................................................... / <10 ............................. c Yes <br />Note: No valves are required as pearl of the land application operation. <br />Date/time: T/a/ I,-( @ 1,10 Signature: Title: Operations Manager <br />Ruben R <br />