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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: 07 <br />T <br />i emperawre: fo <br />Wind direction: 63 W <br />Other relevant field conditions: <br />Wind speed: I'A R <br />Evidenceof erosion ................................................................................... o No .............................. Li Yes <br />Berm condition ........................................................................................... czrGood ......................... . o Needs attention <br />Soilsaturation ..................... ........... — .......................................................... ff No .............................. o Yes <br />Ponding.... ..................................................................................................... d'0 .............................. L--' Yes <br />Potential runoff to off-site areas ............................................................. Lr No............................._ E:, Yes <br />Potential discharge . to surface water ..................................................... IN o ..................... ...... - o Yes <br />Actual discharge to surface water .......................................................... c/No.............................. 0 Yes <br />Accumulation of organic solids .........................L.� No ............................... -- Yes <br />Soilclogging ................................................................................................ . :n No .............................. 0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ...........................................................N_ R(o . .......................... o Yes <br />Vectors (insects, rodents) .............. ................................. ............. I - o.............................. C: Yes <br />M <br />Documented observations requiring corrective action and corrective action taken (if applicablel <br />'Vote: <br />I No valves are required aspart of the land application operation. <br />*Date/titne: /Joly a 'T(d signatute: Tide: Operations Manager <br />C A�4 <br />Ruben RAairez <br />