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FORWARD 1ANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: <br />Wind direction: FJ W Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion ................................................................................... 0 "N 0 .............................. [I Yes <br />Berm condition ........................................................................................... t7� �Gqd ............... __ 0 Needs attention <br />Soil saturation ..................................................... ........................................N oz ............. E] Yes <br />......... *'**** <br />Ponding. ........................................................................................................ . No .............................. 0 Yes <br />Potential runoff to off-site areas ............................................................. �1 KNo 0 yes <br />Potential discharge to surface water ..................................................... d No.............................. C3 Yes <br />Actual discharge to surface water .......................................................... :J No El Yes <br />7* .... ** ............. -- <br />Accumulation of organic solids .............................................................. No 0 Yes <br />Soilclogging ................................................................................................ No ...... ...................... 0 Yes <br />Odors that have the potential to be objectionable at or 7 <br />beyond the property boundary ............................................................... o No .............................. 7 Yes <br />Vectors (insects, rodents) ....................................................................... C x -, ......................... :1 Yes <br />=11''! HIF ■rr1011111111!1111111111 <br />A`ote.- lVo valves are required as part of the land application operation. <br />Date/time. 12Yk1'( @ 110 S'ti'lle: <br />19na Title: Operations Manager <br />Ruben F—qmirez <br />