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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. RS -2014-0006 <br />Weather conditions: o <br />Temperature: �s <br />Wind direction: �" Wind speed:-` <br />Other relevant held conditions: <br />Evidenceof erosion....................................................................................d N o .............................. o Yes <br />Bermcondition.............................................................................................6-Glood.......................... o Needs attention <br />Soilsaturation........................................................................................:.....Jam .............................. o Yes <br />Ponding....................................................................................................... -P 'K -o .............................. o Yes <br />Potential runoff to off-site areas..............................................................d No .............................. o Yes <br />Potential discharge to surface water ..................................................... p-114�5 .:...............:............ o Yes <br />Actual discharge to surface water...............................:...........................2,110 ............:................. o Yes <br />Accumulation of organic solids............................................................le;< .............................. o Yes <br />Soilclogging .:...............................................................................................zrN o .............................. oyes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary...............................................................� No-.............................. o Yes <br />Vectors (insects, rodents).........................................................................tT-.............................. o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves are required us part of'the land application operation. <br />ti <br />Date;/time: �j�/ "I .i @ M t 5 Signature: � �' isle: Operations Manager <br />Ruben Ramirez <br />