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MOM l 0 PUZ <br />DAILY PRE -APPLICATION INSPECTION FORM <br />® Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature:: U <br />Wind direction: 45— Wind speed: <br />Order relevant field conditions: <br />Evidenceof erosion...........................................:.........................................ET o .............................. ❑ Yes <br />Berm condition............................................................................................'6 Good..........:.........:..... ❑ Needs attention <br />Soilsaturation.............................................................................................. )moo .............................. o Yes <br />Ponding.........................................................................................................zf o' .............................. o Yes <br />Potential runoff to off-site areas.............................................................. tJ No .............................. ❑ Yes <br />Potential discharge to surface water .................................................... ,d No .............................. ❑ Yes <br />Actual discharge to surface water ............. ............................................. �No .............................. ❑ Yes <br />Accumulation of organic solids.............................................................. c�'N'0 ............................... o Yes <br />0 <br />clogging............................................................................................................................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary..... ........................................................... 15- N ---o .............................. ❑ Yes <br />Vectors (insects, rodents)......................................................................... 0-11 or ............................ o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note. No wbes are trquired us part of 'fbe land application operation. <br />Date/time: 7 /!t / w S @ lao Signature: 144401-- ""`' Thde: Operations Manager <br />Ruben Ramirez 4�, <br />