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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-20140006 <br />Weather conditions: <br />Temperature: 66 <br />Wind direction: <br />C?ther relevant field conditions: <br />Fili <br />M <br />Wind speed: 6 -- <br />Evidenceof erosion................................................................................... 'N0 .............................. ❑ Yes <br />Berm. condition...........................................................................................,e'Good.......................... ❑ Needs attention <br />Soilsaturation......................................................................:.......................�..............I............... ❑ Yes <br />Ponding....................................................:...................................................� .............................. ❑ Yes <br />Potential runoff to off-site areas ....................... .......................... ...........Ja l'"' .............................. ❑ Yes <br />Potential discharge to surface water....................................................�ro ...:......................... ❑ Yes <br />Actual discharge to surface water.........................................................: o -go .............................. ❑ Yes <br />Accumulation of organic solids............................................................. ..erNo .............................. ❑ Yes <br />Soilclogging...............................................................................................J�.............................. ❑ Yes <br />Odors that have the potential to be objectionable at or �' <br />beyond the property boundary.................................................................6No .............................. ❑ Yes <br />Vectors (insects, rodents)...................................................................... No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole. No wlijes am irquired asearl of the /and application operation. <br />1 <br />I)atc/time: 7 / /jplS @ 1,76 Signature: 64 itie: Operations Manager <br />Ruben Ramirez <br />U <br />