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FORWARD LANDFILL <br />DAILY PRE -APPLICATION I NLSPS CTION FORM <br />Waste Discharge Requirements Order No. R.5-2014-0006 <br />Weather conditions: <br />Te - <br />'Wm' nPCrature: <br />d directiora: <br />Other relevant field conditions: <br />Wind speed: 'b <br />Evidenceof erosion ........... ............................................. ......................... cl<o ............................. El Yes <br />Bermcondition ...........................................................................................i: j "G'- -o o d ......................... o Needs attention <br />Soilsaturation .............................................................................................. C3 Co ............................. C3 Yes <br />Ponding......................................................................................................... cl"?<fo ---------------------------- 0 Yes <br />Potential runoff to off-site areas ............................................................. o.........------------.....----.. o Yes <br />Potential discharge to surface water----------------------------------------- ........... O'No ............................. n Yes <br />Actual discharge to surface water .......................................................... 04 �o ........................... 0' Yes <br />Ac I cumulation of organic solids ..............................................................a�o ............................. 0 Yes <br />Soilclogging ................................................................................................ jzl 0 • .... ........................ 0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... el(��o .. ... ................... 0 Yes <br />Vectors(insects, rodents) ................................................ ....................... .............................. 0 Yes <br />Ap, varrective action and corrective action taken (if <br />Note.- No valves are required as part of the land application operation. <br />Date/time: —14JUA4- @ 1-20 Siga2ture: ® Zdi��--�Title: Operations Manager <br />Ruben Ramirez (,� <br />