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FORWARD IANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. RS -2014-0006 <br />Weather conditions: J— <br />Temperature: F -T- - Wind speeE: <br />Wind direction.: <br />Other relevant fieie, conditions: <br />Evidenceof erosion ...................... ............................................................ 6 No .............................. 13 yes <br />Bermcondition ........................................................................................... d C. ......................... o Needs attention <br />Soilsaturation .............................................................................................. No .......................... 0 Yes <br />Po.............................. 0 Yes <br />nding .................................................................................................. Zo 0 Yes <br />Potential nmoff to off-site areas ............................................................. ...... ............. <br />Potential discharge to surface water ............................................ ........ o No ............. c Yes <br />....... No ............................. 0 yes <br />Actual discharge to surface water ...................................... ............ <br />Accumulation of organic solids .............................. .. •......................... <br />................................ No ci Yes <br />Soilclogging ................................................................................................. ❑No ....... ................... 11 Yes <br />Odors that have the potential to be objectionable at of <br />beyond the property boundary ............................................................ — <br />0 yes <br />Vectors (insects, rodents) ....................................................................... : 'No ........................... <br />. *"'*'** 0 ye <br />I •on and corrective action taken (if applicablel. <br />Note.- No valves are required as pari 't& land appkeation operation.0J <br />Signature* 4' <br />Ruben Ramirez <br />