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FORWARD LANDFILL <br />DAILY PRE-A-PPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: F - <br />Wind direction: Wind speed: <br />Other relevant field conditions: <br />Evidence of erosion ... ............ ............. ------------------------------- ii No ....... -------------- -- ii Yes <br />Bermcondition .................................................... ...................................... d'Good ......................... o Needs attention <br />Soilsaturation .............................................................................................. 2J No .............................. 0 Yes <br />Ponding......................................................................................................... t5"No .............................. 0 Yes <br />Potential runoff to off-site areas ............................................................. <br />0 .............................. <br />0 Yes <br />Potential discharge to surface water ................... --------------------------------- <br />C❑14, 0 .............................. <br />0 Yes <br />Actual discharge to surface water.......................................................... <br />6 --No ........................... — <br />0 Yes <br />Accumulation of organic solids .............................................................. <br />Soilclogging ............................................ ---------------------------------------------------- <br />0 No .............................. <br />�<o ................................ <br />0 Yes <br />o Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ................... ...........................................Zo . ........................... El Yes <br />Vectors (insects, rodents) .............................................................. ........ . :No ............ ......... o Yes <br />Note: No valves are required as part of the land application operation. <br />4Late/dtne: 51,WLp1'( @ '1;w Sig--aature: Title: Operations Manager <br />Ruben Ramirez <br />