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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements order No. R5-2414-0006 <br />Weather conditions: <br />Temperature: <br />Wind direction: Ca— Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion................................................................................... 0 .............................. a Yes <br />Beancondition ..... ....................... ................................................................. d Good .......................... ❑ Needs attention <br />Soilsaturation............................................................................................. <br />❑ Yes <br />Ponding ............................. .......................................................................,---- <br />,--............................. <br />....�'No .............................. <br />❑ Yes <br />Potential runoff to. off-site areas..............................................................eTNo .............................. <br />❑ Yes <br />Potential discharge to surface water .................................................... <br />.efNo .............................. <br />❑ Yes <br />Actual discharge to surface water........................................................... <br />dNo .............................. <br />❑ Yes <br />Accumulation of organic solids............................................................... <br />t�No .............................. <br />❑ Yes <br />Soil clogging ................................................................................................. <br />z1f o. ............................. <br />❑Yes <br />®dors that have the potential to be objectionable at or ��' <br />beyond the property boundary................................................................J�o ............................ ❑ Yes <br />Vectors(insects, rodents)........................................................................4nr ••••••........................ o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole. No woes are required as purl o� f'the land application operation. <br />�1�atcJtime: Jli/xdr� @ '7=r Signatue: �a1 teOperations onsManager <br />Ruben Ramirez <br />C <br />