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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-4006 <br />Weather conditions: <br />` o <br />Temperature: E � <br />Wind direction: 6 Wind speed: IILLO <br />Other relevant field conditions: <br />Evidenceof erosion ............................................. ... ...................................... erNO .............................. a Yes <br />Berea condition......................................................................I...................... 0' ood.......................... o Needs attention <br />Soilsaturation.......................................................... ............. ...... I................�o .................... I......... o Yes <br />Ponding ............................................. <br />...........................................................e5-No..............................o Yes <br />Potential runoff to off-site areas............................................................refgo .............................. o Yes <br />Potential discharge to surface water ..................................................... P -Ko .............................. o Yes <br />Actual discharge to surface water..........................................................15 No .............................. o Yes <br />Accumulation of organic solids.............................................................i A"o .............................. o Yes <br />is <br />clogging.................................................................................................� .............................. o Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................ dNo .............................. o Yes <br />Vectors (insects, rodents).........................................................................e5 o .............................. o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole: No valves are ngzrired asparl of'the land appliealion operation. <br />Date/time: / `�/�P@ .' b .Signature: eea. 44 ue: Operations Manager <br />Ruben Ramirez <br />