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�J <br />0 <br />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: N w <br />Other relevant field conditions: <br />Wind speed: 9 iv\ P <br />Evidenceof erosion................................................................................... o No. ............................. ❑Yes <br />Good ......................... U deeds attention <br />Bermcondition.......................................................................... . <br />Soilsaturation.............................................................................................. 6 No.............................. c Yes <br />Ponding......................................................................................................... <br />/o .............................. ❑Yes <br />Potential runoff to off-site areas............................................................. 0 .............................. E Yes <br />Potential discharge to surface water ..................................................... .............................. ❑ Yes <br />Actual discharge to surface water.......................................................... �Nxi"N"T <br />............................. Yes <br />❑Yes <br />Accumulation of organic solids........................................................................................... <br />Soilclogging ................................................................................................ No ....... ........ ............... ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ...............................................................NNoo�....._........................ ❑ Yes <br />Vectors (insects, rodents)....................................................................... o .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />-Vote: iNo valves are required aspart of the land application operation. <br />Date/time: @ IAL- Signature: Ak Al'� Title: Operations Manager <br />Ruben Ramirez <br />