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FORWARD IANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />R <br />Wind direction: <br />Other relevant field conditions: <br />Wind speed: '5 m:VA <br />Evidence of erosion............... ................................................................... d/No .............................. n yes <br />Berm condition ........................................................................................... 6 Good ......................... o Needs attention <br />Soilsaturation .............................................................................................. ��No .............................. 0 Yes <br />Ponding.........................................................................................................ZNO .............................. 0 Yes <br />Potential runoff to off-site areas............................................................. i/N o ---------------------_ El Yes <br />Potential discharge I to surface water ..................................................... �No ............................... 0 Yes <br />Actual discharge to surface water .......................................................... . � 0 ............................. o Yes <br />Accumulation of organic solids .............................................................. ;�" �o ............................. 0 Yes <br />Soilclogging ............................................................. .............................. dNo .......................... 0 yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... D No........................... n Yes <br />Vectors (insects, rodents) .................................................................... No.----- ------_-----_-------- o Yes <br />Note: No valves are reqmired as part of the land application operation. <br />Signature:4 L4" Irl, d <br />.. - ke!:� Title: Operations Manager <br />Ruben Rainirez <br />E <br />.J <br />