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is FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: V <br />Temperature:. <br />Wind ditecu'on: Wind speed: <br />Other relevant field conditions: <br />-Z — <br />Evidenceof erosion ----------------------------------------------------------------------------------- L!j 0 ............................ 0 Yes <br />Bermcondition ........................................................................................... Good ......................... c Needs attention <br />Soilsaturation ..................................................................................... ........ C No . ............................. c Yes <br />---_- <br />Ponding ........................... ----------------------------------------------------------------------------- Nom....--......-... ---- o Yes <br />Potential runoff to off-site areas ............................................................. 7 No ...................... E] Yes <br />d <br />Potential discharge to surface water ..................................................... No . .......................... D Yes <br />Actual discharge to surface water .......................................................... n No. ........................ 0 Yes <br />Accumulation of organic solids .............................................................. No -_---------_--_- 0 Yes <br />Soilclogging _ ....................................... I ...................................................... No ............................. 11 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... 1:V - Co ... ..................... 0 Yes <br />Vectors (insects, rodents) ........................... ........................................... ��o ..... 7 .................... D Yes <br />Note: No valves are required as part of the land aptheation operation. <br />0 Date/time. L signature: <br />M <br />