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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. RS -2014-0006 <br />Weather conditions: D <br />'1 cmperatuxe: 6 <br />Wind direction: 0 - <br />Other relevant field conditions: <br />Wind speed: <br />0 <br />Evidenceof erosion....................................................................................a-no .............................. ❑ Yes <br />Berm condition............................................................................................ed Good.......................... ❑ Needs attention <br />Soilsaturation............................................................................................ . z'N-0 .............................. ❑ Yes <br />Ponding.......................................................................................................� .............................. ❑ Yes <br />Potential runoff to off-site areas .............................................................❑ Yes <br />Potential discharge to surface water ..................................................... .............................. ❑ Yes <br />Actual discharge to surface water.........................................................1. �o .............................. ❑ Yes <br />Accumulation of organic solids.............................................................P-N-0 .............................. ❑ Yes <br />Soil clogging .......... ..... ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................rdNo .............................. ❑ Yes <br />Vectors(insects, rodents)......................................................................•rte 90 .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />u <br />Not -e.• No wkes are required ar part oj*the land application operation. <br />Date/ time: �7 /Lore: @ `I: i Signature: 4'�f� -=f �'" itle: Operations Manager <br />Ruben Ramirez ��' <br />