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FORWARD IANDFIIJ� <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R-5-2014-0006 <br />Weather conditions: <br />Temperature: <br />Wind direction; <br />OtIner relevant field conditions: <br />Wind speed: <br />Evidenceof erosion -------- ----------------------------------------------------- - ..... F7KNo ................... <br />Bermcondition ...........................................................................................of/Good ........................ <br />Soil saturation-------------------------------- <br />.............................................................. �o ......................... <br />Ponding... ....................................... ------- ----------------------------------------------------- - 7NLo --------------_-------_-- <br />Potential runoff to off-site areas ............................................................. c� �No .. ....................... <br />Potential discharge to surface water ..................................................... 13/No ............................. <br />Actual discharge to surface water ........................................... .............. cz/No ............... I ............ <br />Ac cumulation of organic solids ............................................................... � /(N �o . .......................... <br />Soilclogging ------------------------------------------------------------------------------------------------ , No0 ............................. <br />Odors that have the potential to be objectionable at or <br />.................... ........................ <br />Vectors (insects, rodents) ...................................................................... <br />,- Yes <br />• Needs attention <br />• Yes <br />F-, Yes <br />o Yes <br />® Yes <br />® Yes <br />El Yes <br />[I Yes <br />o/No .............................. 0 Yes <br />� .......................... El Yes <br />1111111111111111 ; 1 1 � I I I I I I I I I! I I!! 1! 1111111111111111 a - S - - BRINE <br />Note.. No valves are required as pan` of the land application operation. <br />ate time:'k-> Operations Manager <br />igna "Tij,— <br />@ _'Ud� S' stare: <br />Ruben Ramircz,,� <br />