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F "RWARD IANDFILL <br />0 <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: <br />Wind direction: t'J w Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion ................................................................................... Al 0 � .............................. ci Yes <br />Bermcondition ..................................... .................................................. ... /Good ......................... E: Needs attention <br />Soilsaturation .... - ......................................................................................../N 0 .............................. 0 Yes <br />Ponding......................................................................................................... No,............................. 0 Yes <br />Z <br />Potential runoff to off-site areas ............................................................. & No .............................. El Yes <br />Potential discharge to surface water ..................................................... ❑�LN 0 .............................. r Yes <br />Actual discharge to surface water .......................................................... . � No, ......................... c Yes <br />Accumulation of organic solids .............................................................. ZN o .................... ......... o Yes <br />Soilclogging ................................................................................................ e ............................. o Yes <br />Odors that have the potential to be objectionable at or x <br />beyond the property boundary ............................................................... d No .............................. 0 Yes <br />Vectors(insects, rodents) ....................................................................... C1 No .............................. 0 Yes <br />MTMMM-3•r r , �.!Illlllllllllllllllllillillillillillillilli1111111111111 11 # Me 11 1 <br />_'Vote: No valves are required as part of the land appheation operation. <br />Date/time: 1P 11 @ -1 <br />-1,C) Signature: 9,464 Z&U-� <br />Ruben Ra"rdif ez <br />I — 'T' . - I <br />