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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 />Tclnperamre: <br />Wind direction: U.J Wind speed: <br />Of -he.- relevant field conditions: <br />Evidence of erosio....................................................... <br />.......... ......... 6 No ----------------- _-----.- 1-1. Yes <br />Berm condition.. ......................................................................................... 0od ......................... o Needs attention <br />�(o <br />Soilsaturation .............................................................................................. .............. El Yes <br />Ponding..... .................................................................................................... 0 ........................... cl Yes <br />Potential runoff to off-site areas .............................................................El Yes <br />�x ............................. <br />Potential discharge to surface water----------------------------------------------------- c No ­ ............ ___ ------ c Yes <br />Actual discharge to surface water ........................................... I ............../No.� ............................ o Yes <br />Accumulation of organic solids ............................................................. 0 o ..... ........................ o Yes <br />Soilclogging ................................................................................................ �o ....... ....................... to Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary .............................................................. ED] 0 ........ ................. _ o Yes <br />Vectors (insects, rodents) ............ .......................................................... 01 .................... 0 Yes <br />-Note.. No valves are required as part of the land applzeat= oteration. <br />Date/ti:tne: JJ;L51 Lev( @ -7:to Signature: Title: Operations Manager <br />Ruben� ez <br />E <br />