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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: 62 <br />%X'ind direction:- k) Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion ................................................................................... Et/xo .............................. 0 Yes <br />Bermcondition ....................................................................... * ................... U-6-ood ......................... o Needs attention <br />Soilsaturation .............................................................................................. No ............................. Ei Yes <br />Ponding......................................................................................................... /No .............................. o Yes <br />Potential runoff to off-site areas ............................................................. No..........................---. 13 Yes <br />Potential discharge to surface water .....................................................Z_N o ............................. 0 Yes <br />Actual discharge to surface water .......................................................... <br />0 Yes <br />Accumulation of organic solids .............................................................. L ............................ 0 Yes <br />Soilclogging ................................................................. .............................. 6No.............................. El Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ..................................................... ........./N o <br />z ..... I .................... 0 Yes <br />0 Vectors (insects, rodents) ....................................................................... .......................... :1 Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />'Note: t7Vo values are required aspae of the land application operation. <br />Date/rime: T / 4/ 20 <br />14O <br />@ I' L <br />Signature: <br />Ruben Ramirez <br />Title: Operations Manager 0 <br />