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DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />I Ct7 peraturc: b U p <br />Wind direction: Wind speed: <br />Otlier relevant field conditions: <br />r <br />Evidence of erosion ................... ... R -n o .. ❑ Yes <br />.................................................. .......... ............................ <br />Berm condition...........................................................................................mod.......................... o Needs attention <br />Soil saturation ..................... ..... <br />......................................................... ... .............:................ d Yes <br />Ponding.........................................................................................................ErNo ............................. o Yes <br />Potential runoff to off-site areas............................................................ TEr15-0............................... o Yes <br />Potential discharge to surface water....................................................moo .............................. ❑ Yes <br />Actual discharge to surface water .............. -0 0 <br />......................... ❑ Yes <br />Accumulation of organic solids ................. �o . ❑ Yes <br />........................................... ............................. <br />0 <br />clogging ............................ <br />...................................................................�............................ ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................. 15'Ro .............................. o Yes <br />Vectors (insects, rodents).....................................................................-,n-Nor ............................ ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole: No valves are nquind as parr of 'tbe land apple ation operation. <br />ate <br />/time: 7 otoi� '1. Signature: i e: r <br />/ //�/ @ _.._,� tgn. tl Operations Manager <br />Ruben Ramirez <br />