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FORWARD IANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: 0 <br />Teraperat=e: 50 <br />Find direction: Q L -J Wind speed: <br />Other .relevant field conditions: <br />Evidenceof erosion ................................................................................... 6 No .............................. .❑:1 Yes <br />Bermcondition .......................................... ................................................ G ......................... .❑�i Needs attention <br />Soilsaturation .............................................................................................. o No . ........................... o Yes <br />Ponding ......................................................................................................... ........................... o Yes <br />G <br />ov <br />Go <br />Potential runoff to off-site areas ...... ...................................................... No ............................ C, Yes <br />Potential discharge to surface water ..................................................... L N .............................. Ei Yes <br />Actual discharge to surface water .......................................................... ci No .. ........................... El Yes <br />Accumulation of organic solids ................................................................ . zN_o X_ ............................. o Yes <br />Soilclogging ................................................................................................ 2 No ... ........................ 7 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... No ............ .............. 0 Yes <br />N <br />Vectors (insects, rodents) ........................................................................ No.....-----......---------..... ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves an required as part of the land application operation. <br />Date/dine: 1goll -7 *. 16 Signatur <br />@ e: Title: Operations Manager <br />Ruben Ramirez <br />11 <br />