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FORWARD 1ANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Teraperatt=e: :5 6 <br />Wind direction: 'A J Wind speed: P <br />Other relevant Held conditions: I <br />Evidenceof erosion ................................................................................... —4 No . ............................ 0 Yes <br />Berm condition ........................................................................................... Zood ......................... ii Needs attention <br />Soilsaturation ..............................................................................................Z_N� 0 .............................. o Yes <br />Ponding......................................................................................................... ZNo ............................. E: Yes <br />Potential runoff to off-site areas ............................................................. ZZ -0 ... Yes <br />Potential discharge to surface water ..................................................... 0 No ....... C, Yes <br />;�� ............. <br />Actual discharge to surface water .......................................................... . 2� No E Yes <br />Accumulation of organic solids ....................................................... ....... 12 K__�O� ............................ 0 Yes <br />Soilclogging ...... ................ ........................... ........................................ � �No ......................... 0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... [I. ........................ El Yes <br />Vectors (insects, rodents) ................................................ I ....................... o.............-----............ 13 Yes <br />Documented observations requiring corrective action and corrective action taken (if applicablen <br />Note: No valves are required aspart of the land application operation. <br />Signature: <br />Ruben Ramirez <br />Title: Operations Manager <br />