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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: kk"' <br />Other relevant field conditions: <br />Wind speed: <br />Evidenceof erosion ................................................................................... if No .............................. 0 Yes <br />Bermcondition ...........................................................................................ZGo,d .......... ---------- Ei Needs attention <br />, _�'40 ....... <br />Soil saturation .............................................................................................. ....................... El Yes <br />Ponding......................................................................................................... � No .............................. Ei Yes <br />Potential runoff to off-site areas ................................................ KN............................ Yes <br />Potential discharge to surface water ..................................................... Yes <br />.. <br />Actual discharge I to surface water .......................................................... . ul(/Nc...................... ...... o Yes <br />Accumulation of organic solids .............................................................. [6 No .............................. D Yes <br />Soilclogging ................................................................................................ ............................. E Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... Zo.............................. 0 Yes <br />Vectors (insects, rodents) ....................................................................... otN/o .............................. 0 Yes <br />Documented observations requiring corrective action and corrective action taken (if applicablil <br />Note: No valves are required as pail of the land application operation. <br />Date/tee: X—A.—PI-AeLt @ Signature: Title- Operations Manager <br />RubenRam!irez L�/ <br />