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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: U <br />I <br />Wind speed: vw <br />Evidenceof erosion .......................................................................... I ......... 1!5 No .............................. 0 Yes <br />Bermcondition ........................................................................................... Good ......................... [i Needs attention <br />1� <br />Soilsaturation .............................................................................................. 7 <10 .............................. o Yes <br />Ponding .......... .............................................................................................. 0 (7 <br />.............................. c Yes <br />Potential runoff to off-site areas ............................................................. t5 No.............................. o Yes <br />Potential discharge to surface water .....................................................01 /-14T 0 . ............................ _J yes <br />Actual discharge to surface water .......................................................... � Zo . ............................ [I Yes <br />Accumulation of organic solids .................................................... /xo.. ............................ LYes <br />Soilclogging ......... ...................................................................................... [T No ............................. E3 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... Cl No .. .......................... o Yes <br />Vectors (insects, rodents) ........................ -- ......... ................................. 20 ....... ............. ....... . 0 Yes <br />Note: No valves are required as pari of the land application operation. <br />Ll <br />11-3 -0 is <br />Date/time:arure: Id de: erasions OpManager <br />L-( @ -I sign tal& Ti <br />Ruben Ramirez <br />