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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />'1 ernperat-uze: <br />Wind direction: Ji UL/ <br />Othe.- relevant field conditions: <br />Wind speed: .-I � <br />Evidenceof erosion ....................................................... -------------------------- 0-o.-----------_-------------- 11 Yes <br />Bermcondition ............................. ............................................................. [:�Good ......................... o Needs attention <br />Soilsaturation ..............................................................................................Na.............................. 0 Yes <br />Pondin. ........................ - ............................................................................... <br />p-i\fo .............................. o Yes <br />Potential. runoff to off-site areas ............................................................. <br />E:: X-01 ............................. <br />0 Yes <br />Potential discharge . to surface water ..................................................... <br />o-N'o.. ...... ( '****"* .......... <br />0 Yes <br />Actual discharge to surface water .......................................................... <br />Accumulation of organic solids .............................................................. <br />o No ........................... <br />o.............................. <br />o Yes <br />ci Yes <br />Soilclogging. . ............................................................................................... <br />EPI.Nero .. ............................ <br />0 Yes <br />Odors that have the potential to be objectionable at or <br />z <br />beyond the property boundary ............................................................... <br />Vectors (insects, rodents) ....................................................................... <br />o No .............................. <br />o/.....................--. <br />0 Yes <br />o Yes <br />r07?411xml�1111111111p lip =1 11 � I I III 1 11 <br />0 M-1- 1 11, 1 1 , I - t <br />Note.- -No valves are required as part of the land applieatior operation. <br />Date/time: Signature: e: Operations Manager <br />�w( y @ Ilya— S, __O <br />Ruben Xam/lrez4 <br />