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rsm <br />DAILY PRE -APPLICATION INSPECTION FORM 40 <br />Waste Discharge Requirements Order No. RS-2014-ON6 <br />Weather conditions: <br />Temperature: <br />Wind direction: Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion ................................................................................... " o.............................. 0 yes <br />Bermcondition .................. ........................................................................ U'bood ......................... 0 Needs attention <br />Soilsaturation .............................................................................................. " o.............................. 0 Yes <br />Ponding......................................................................................................... u/N 0 .............................. 0 Yes <br />Potential runoff to off-site areas ............................................................. CYINo .............................. 0 yes <br />Potential discharge to surface water ..................................................... 2/No.............................. ri yes <br />Actual discharge to surface water .......................................................... No.............................. o Yes <br />Accumulation of organic solids .............................................................. Ao .............................. 0 Yes <br />Soilclogging ................................................................................................ c3(N/o .............................. ®Yes <br />Odors that have the potential to be objectionable at or <br />beyond theproperty boundary .............................................................. A 0 .............................. ®Yes <br />Vectors(insects, rodents) ....................................................................... /NO .............................. 0 Yes <br />Documented observations requ i . <br />�iring corrective actiLikin :3 <br />Note.- No wlves are ivquired as part of the land application operation. <br />Date/time: 2"7oc> S- ature: cam— Title: Environmental M <br />W anager <br />Erin Fanning <br />