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FORWARD LANDFILL <br />DAJLY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-201"006 <br />Weather conditions: <br />Temperature: <br />Wind direction: <br />Other relevant field conditions: <br />Wind speed: <br />Evidenceof erosion .................................................................................../N 0 ............. ................ o Yes <br />Berm condition ....................................................................... <br />......... . Good ......................... r Needs attention........... <br />Soilsaturation .............................................................................................. llrI�_o ............................. 0 yes <br />Ponding......................................................................................................... � Zo ............................. :1 Yes <br />Potential runoff to off-site areas. ......................................... .................. . //N a .............................. 0 Yes <br />Potential discharge to surface water ..................................................... 0 ............. ................ Y -es <br />No 0 <br />Actual discharge to surface water .................................................... N .............................. o Yes <br />Accumulation of organic solids .............................................................. N .............................. o Yes <br />Soilclogging ................................................................................................ No .............................. 0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ...............................................................IN o .............................. �-_ Yes <br />""I <br />Vectors (insects, rodents) ....................................................................... I NO ............................. El Yes <br />11 111 UNKNOWN I <br />-Note: iNo valves are required as part of the land application operation. <br />late/time: ®B @ Signature: Title: Operations Manager <br />Ruben amirez <br />E <br />