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FORWARD IANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: <br />Wind direction: Wind speed: r". j? <br />Other relevant field conditions: <br />Evidenceof erosion ................................................................................... ti No .............................. F-1 Yes <br />Bermcondition ........................................................................................... :ZGood ......................... o Needs attention <br />Soilsaturation ------------------------------------------ ....................................... ...... czllNo------------------------------ 11 Yes <br />Ponding.........................................................................................................0 /-x- 0 .............................. 11 Yes <br />Potential runoff to off-site areas........-•.................................................. [: Ido.............................. o Yes <br />Potential discharge to surface water ....... ............. ............................... . D No .......... ----------------- Yes <br />Actual discharge to surface water .......................................................... cn No.............................. 0 Yes <br />Accumulation of organic solids ............ .................................................[zo ............................. 0 Yes <br />Soilclogging ................................................................................................ il No.............................. El Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ...............................................................0<-011 ... ............... 0 Yes <br />Vectors (insects, rodents) ................................................ ....................... 0 qo ............................. 0 Yes <br />1119SIMMI! <br />-Noxe.- No valves are required as part of the land application operation. <br />Date/time: Signature: Title: Operations @ L-4 Si ture: A�lw rations Manaoer <br />Ruben Rabi?irezA� <br />