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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 />Tcmperaturc: 0 <br />Wind direction: <br />Other relevant field conditions: <br />Wind speed: <br />Evidenceof erosion....................................................................................To .............................. o Yes <br />Bermcondition...........................................................................................mood.......................... ❑ Needs attention <br />Soilsaturation.............................................................................................12-1 ............................. ❑ Yes <br />Ponding.......................................................................................................o .............................. ❑ Yes <br />Potential runoff to off-site areas.............................................................. er1Go .............................. ❑ Yes <br />Potential discharge to surface water .................................. .................. rtl'fro ...........::,...,............ ❑ Yes <br />Actual discharge to surface water.......................................................... ...............:............. ❑ Yes <br />Accumulation of organic solids.............................................................. 45<0 .............................. ❑ Yes <br />Soil clogging ..................... ...,,'To .............................. ❑ Yes <br />........................................................................ <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................. 0140 '............................. ❑ Yes <br />Vectors (insects, rodents) <br />........................................................................tSNo .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (i£ applicable): <br />Note: No valves are regyired as par! of'the land application operation. <br />Date/time: 7 / z-/ @ Mar Signature: isle: Operations Manager 40 <br />Ruben Ramirez <br />