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FORWARD IANDFILL <br />ON DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: <br />T'ind direction: Wind speed: Q... ........ <br />Other relevant :field conditions: <br />Evidenceof erosion ................................................................................... :� No .............................. Yes <br />Bermcondition ........................................................................................... /Good. ......................... o Needs attention <br />Soilsaturation ..... ........................................................................................ IINN 0 * ........................... [I Yes <br />Pon. ........................................................................................................ � �No . . .......................... E Yes <br />Potential runoff to off-site areas ............................................................. � ZN"Ou ................................ E: Yes <br />Potential discharge to surface water ...................................................../_N o .............................. [2, Yes <br />Actual discharge to surface water .......................................................... o................----........ .❑o Yes <br />No <br />Accumulation of organic solids .............................................................. -, NO ..................... ...... 0 Yes <br />0 Lbio..............................J'- <br />Soil clogging ............................ ................................................................... . E3 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ...............................................................ZIN o ... .......................... 0 Yes <br />Vectors(insects, rodents) ....................................................................... No............---............... 0 Yes <br />Note: No valves are required aspart of the land application plication oteration. <br />Date/time: _11n1l�oh@TJO Signature: <br />. <br />Ruben Ramirez <br />