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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />'eather conditions: <br />Temperature: 66 <br />Wind direction: Wind speed: <br />Other relevant fieid conditions: <br />M <br />Evidenceof erosion ................................................................................... ............................ :3 Yes <br />Bermcondition ............ ..............................................................................bood ......................... o Needs attention <br />................ . --'o <br />Soil saturation ..............................................................................z N .............................. 0 Yes <br />Pondinc............. ...................................................................................... o.............................. 0 Yes <br />Potential runoff to off-site areas .............................................................zo ............................. El Yes <br />Potential discharge to surface water .....................................................ZN o .............................. C:' Yes <br />Actual discharge to surface water .......................................................... 54 /No, .............................. C Yes <br />Accumulation of organic solids ......................................................... ..../1N a ............................. o Yes <br />Soilclogging ........... .................................................................................... No •"---------------------------- 11 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... e/No ii Yes <br />---------- <br />Vectors(insects, rodents) ....................................................................... -- No .............................. o Yes <br />C-S."ective i.ction taken if a licable <br />Note. No valves are required as part of the land application operation. <br />Date/tirne: 1JIS/Ul's @1iA2-- Signature: Operations Manager <br />Ruben MIrez <br />