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FORWARD IANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: 00 <br />Wind direction: k1 W Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion ................................................................................... t N0 .............................. 0 Yes <br />Bermcondition ........................................................................................... c5 Good . ........................ Ei Needs attention <br />Soilsaturation .............................................................................................. A0 .............................. 1:1 Yes <br />Ponding ..................................... .................... ..............................................�-N <br />o..............-----........ — C Yes <br />Potential runoff to off-site areas ............................................................. � No.....------................... C-1 Yes <br />Z <br />Potential discharge to sufface water ............................................. ------- c! No .............................. 0 Yes <br />Actual discharge to surface water .......................................................... .............................. C Yes <br />Accumulation of organic solids .............................................................. c� No.............................. E: Yes <br />Soilclogging ................................................................................................ ........................... 0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ................................................................ IN 0 .............................. o Yes <br />Vectors (insects, rodents) ....................................................................... C340 .... ........................... 1: Yes <br />d ritrrective qction 'if am <br />Note: No valves are required as part of the land application operation. <br />Date/time: <br />Ruben Ta;;;ye—z <br />I <br />