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FORWARD IANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: <br />Wind ditection: <br />Other relevant field conditions: <br />Mm <br />Evidence of erosion .........................d6 No.....---...---................ L-, Yes <br />Bermcondition ........................................................................................... tzf"Good ................ ........ 0 Needs attention <br />Soilsaturation ............................................................................. ......... oe No .............................. Eli Yes <br />Ponding.......................................................................................... I .............. d -N -o .............................. C1 Yes <br />/ 7 <br />potential runoff to off-site areas ............................................................. 2!50 .............................. 0 Yes <br />potential discharge to surface water ................... ................................. : No ......... 4 ..................... 0 Yes <br />0 <br />Actual discharge to surface water .................................................. Yes <br />o Yes <br />Accumulation of organic solids .................................................. 0/ ......... <br />1:3 <br />Soilclogging ................................................................................................. ZNo .............................. Yes <br />hat have the potential to be objectionable at or <br />Odors t ?J / No... ........................... 0 Yes <br />beyond the property boundary ....................................................... <br />Vectors(insects, rodents) ....................... ... I ........................................... 21No ............................. 0 Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />-No,-e: No valves are required as part of the land application operation. <br />Date/time. UqLy/16L-T— @ -II-La- Signatate: Title: Operations Manager <br />t <br />Ruben Rami: ez <br />