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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: <br />Wind direction: U y; <br />Other relevant field conditions: <br />Wind speed: 9 <br />Evidence of erosion................................................................................... 6 <0 .............................. ❑ Yes <br />Bermcondition........................................................................................... 6 G 0 ......................... ❑ Needs attention <br />Soilsaturation............................................................................................. N0---------- ----------------- ❑ Yes <br />Ponding......................................................................................................... ztl�o...................----------- ❑ Yes <br />Potential runoff to off-site areas.............................................................6 No .............................. 7 Yes <br />Potential discharge to surface water ..................................................... ZN' .............................. c Yes <br />Actual discharge to surface water.......................................................... of No.............................. ❑ Yes <br />Accumulation of organic solids..............................................................�No .............................. ❑ Yes <br />Soilclogging................................................................................................ / .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... 7NoZo <br />......................... Ei Yes <br />Vectors (insects, rodents)....................................................................... ...........--............ ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />i\Tote: INTo valves are required as parr of -the land application operation. <br />Date/time: 0 Signature: Title: Operations Manager of <br />Ruben Ramirez <br />