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DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: 5? <br />Wind direction: ki %J Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion ......................................................... .......................... EKO .............................. n Yes <br />_'ez <br />Bermcondition ................................................... ....................................... . J Good ......................... o Needs attention <br />Soilsaturation .............................................................................................. No.............................. 0 Yes <br />Pon........................... IN 0 .............................. mo Yes <br />Potential runoff to off-site areas ............................................................. <_0 .............................. ❑Yes <br />Potential discharge to surface water .................................................... /No ............................. Ei Yes <br />Actual discharge to surface water .......................................................... INO .............................. CD Yes <br />Accumulation of organic solids ............................................................../N_ o .............................. C1 Yes <br />Soilclogging ................................................................................................ INO ............................... :3 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... t <br />............................0 Yes <br />Vectors (insects, rodents) ....................................................................... ............................ 0 Yes <br />*rc xu&corrective action taken (if app ca e <br />Al mf en, <br />Note: lVo valves are required as part of the land application operation. <br />Date/time: rnature: Tide: Operations Manager <br />11LI /-20-11 @ Sig <br />Ruben C4 <br />Ramirez <br />