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DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. RS -2014-0006 <br />Weather conditions: <br />Temperature: <br />Wind direction: E.. <br />Other relevant field conditions: <br />Wind speed.: <br />Evidenceof erosion....................................................................................Z-Ro.............................. ❑ Yes <br />Berm condition........................................:...................................................e Good............... .... ❑ Needs attention <br />Soilsaturation..............................................................................................e5 No .............................. ❑ Yes <br />Ponding......................................................................................................... e3 No ......I............... . ❑ Yes <br />Potential runoff to off-site areas.............................................................;a-No .............................. ❑ Yes <br />Potential discharge to surface water ..................................................... ❑'1Go .... .:......................... ❑ Yes <br />Actual discharge to surface water ................................................... :...... Leo .............................. ❑ Yes <br />Accumulation of organic solids.............................................................. z l' o .............................. ❑ Yes <br />clogging..................................................................................................6-'N o .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................01' 0 .............................. ❑ Yes <br />Vectors (insects, rodents).......................................................................!N.............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves are required as part of the land application operation. <br />fate/time: @ 7:05 Signature: itle: Operations Manager <br />Ruben Ramirez <br />