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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: <br />Other relevant field conditions: <br />Wind speed: <br />Evidenceof erosion ..................................................................... ............. :K To .............................. 0 Yes <br />Bermcondition ........................................................................................... Good ......................... -� Needs attention <br />Soilsaturation .............................................................................................. o.---..........._........_..... E:, Yes <br />Ponding......................................................................................................... No .............................. 0 Yes <br />Potential runoff to off-site areas ............................................................. ®`No...................----- _-_- 0 Yes <br />Potential discharge to surface water ............................................. I ....... /_N 0 .............................. 0 Yes <br />0 <br />Actual discharge to surface water ................................................. 2K ........................ 11 Yes <br />Z <br />Accumulation of organic solids .............................................................. id Ivo.............................. . o Yes <br />Soilclogging ................ ............................................................................... d No .............................. 0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... I No ............................. Yes <br />Vectors (insects, rodents) ...................................... .......................... d io----..................._...... E; Yes <br />Iocurnented observations requiring corrective action and corrective action taken (if applicabld7 <br />Note: lNo valves are required as part of the land application operation. <br />Date/time: all @ '7,'10 Signature: A), 6" Tide: Operations Manager <br />12 dg� <br />Ruben Ramirez <br />