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FORWARD 1ANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />'Weather conditions: <br />Temperature: - <br />Wind direction: Wind speed: 3 112,qL- <br />— <br />Other relevant field conditions: <br />Evidenceof erosion ................... ............................................... ............... 67 No .............................. 0 Yes <br />Bermcondition .... .......... ........................................................................... 6Good ......................... o Needs attentLon. <br />Soilsaturation .............................................................................................. P -No .............................. 0 Yes <br />Ponding---_--------_ - ----------------- ----------- ..................................................... ­. 6 N ' 0 .............................. 0 yes <br />Potential runoff to off-site areas ............................................................. o No .............................. 0 Yes <br />Potential discharge to surface water ..................................................... e/No .............................. 0 Yes <br />Actual discharge to surface water .......................................................... .............................. 0 yes <br />Accumulation of organic solids .............................................................. A 0 .............................. El Yes <br />Soil clogging ....................................................................... - ........ .............. /No 0 yes <br />.............................. E <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary .............................................................../No .............................. 0 Yes <br />Vectors (insects, rodents) .................... .................................................. . YN o .............................. . -1 Yes <br />-en (if aDDlicable) <br />7\1oxe.- No valves are required red astae of the land application operation. <br />@ gam Signature: Title: Operations Manager <br />Date/time: tare: "L I <br />mirez <br />Ruben Ra 2� <br />