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FORWARD IANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requiremetits Order No. R5-2014-0006 <br />Weather conditions: <br />I 0 <br />empetature: 51 <br />Wind direction: IU W <br />Other relevant field conditions: <br />Wind speed: — 6 n&6 <br />Evidenceof erosion ................................................................................... � No .............................. 0 Yes <br />Bermcondition .............................................. ............................................ moi' Good ........ ................ o Needs attention <br />................ - <br />Soil saturation ............................................................................ cl/No .............................. 0 Yes <br />Ponding........................ ............................................... ................................ d No......................_._._... .❑:1 Yes <br />Potential runoff to off-site areas ............................................................. ::(No .............................. 0 Yes <br />Potential discharge to surface water ............................... ..................... L-1 If No............_................. . ::, Yes <br />I <br />Actual discharge to surface water .......................................................... C3 <-o .............................. :1 Yes <br />isAccumulation of organic solids .............................................................. Ei No. ............................. o Yes <br />Soilclogging ................................................................................................ 11`5 �-o .............................. 0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... C: z �0 ............................. 0 Yes <br />Vectors (insects, rodents) ....................................................................... C311- -or ......................... 0 Yes <br />Note: No valves are required aspart of the land application operation. <br />,-7 <br />Date/time: /14VAv-1ft @ -IL�P— Signature: Title: Operations Manager <br />Ruben Ramirez <br />