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103 <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: D <br />Temperature: <br />Wind direction: S. - <br />Other relevant field conditions: <br />Wind speed: t� rit p h <br />Evidenceof erosion ............................................................ ....................... rq:f .............................. ❑ Yes <br />Bermcondition............................................................................................6 Good .......................... o Needs attention <br />Soil saturation.............................................................................................. En or ❑ Yes <br />Ponding.........................................................................................................z< .............................. ❑ Yes <br />Potential runoff to off-site areas............................................................-ErNo .............................. ❑ Yes <br />Potential discharge to surface water....................................................o .............................. ❑ Yes <br />Actual discharge to surface water..........................................................o .............................. ❑ Yes <br />Accumulation of organic solids..............................................................Z<o .............................. ❑ Yes <br />Soil clogging ......................... .. o Yes <br />Odors that have the potential to be objectionable at or <br />beyondthe property boundary................................................................o No .............................. ❑ Yes <br />Vectors (insects, rodents)........................................................................eJ.vo ............................... ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No values ary irquired as part of the land application operation. <br />Date/time: —11.J12i2Lr—@ 7:1Q Signature: - tle: Operations Manager <br />Ruben Ramirez <br />n <br />