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FORWARD LANDFILL <br />Ah DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. RS -2014-0006 <br />Weather conditions: <br />Temperature: <br />Wind direction: <br />Other relevant field conditions: <br />Wind speed: <br />Z - <br />Evidenceof erosion ................................................................................... )zf No ...... ............. El Yes <br />Bermcondition ...... ....................................................................................ZGood ......................... o Needs attention <br />Soilsaturation ................... ............... .......................................................... 0 No, ................ ............. . D Yes <br />Ponding............................................................... ........................................./No .. ............... -----_--- ^Yes <br />Potential runoff to off-site areas ............................................................. �XNo .............................. Ll Yes <br />Potential discharge to surface water ..................................................... 2 40 ............................. Z] Yes <br />Actual discharge to surface water .......................................................... Z10 ............................. . J Yes <br />Accumulation of organic solids ..............................................................X:1/0 — E, ......................... <br />I Yes <br />Soilclogging ................................................................................................ �Zo ............................. r-, Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... �o .......................... o Yes <br />Vectors (insects, rodents) ....................................................................... /No.............................. 0 Yes <br />0 <br />M <br />Note.- No valves are required as part of the land application operation. <br />Date/time: @ !_A5 Signature: <br />Ruben Ramirez _) <br />