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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order. No. R5-2014-0006 <br />Weather conditions: <br />` <br />Temperature: 63 <br />Wind direction: N v! Wind speed: :.mak <br />Other relevant field conditions: <br />Evidenceof erosion............................................................... ................... ..zITOTO .............................. <br />❑ Yes <br />Bermcondition............................................................................................ a C.rood.......................... <br />❑ Needs attention <br />Soilsaturation..............................................................................................l<o .... :......................... <br />❑ Yes <br />Ponding......................................................................................................... .............................. <br />❑ Yes <br />Potential .runoff to off-site areas............................................................. a'�o .............................. <br />❑ Yes <br />Potential discharge to surface water ..................................................... 9Xo ............................... <br />❑ Yes <br />Actual discharge to surface water.......................................................... WNo .............................. <br />❑ Yes <br />'No <br />Yes <br />................... <br />Accumulation of organic solids..............................................................e........... <br />❑ <br />Soil clogging ..................... .................. iso .............................. <br />" <br />❑Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary.................................................................e'0 .............................. ❑ Yes <br />Vectors(insects, rodents).......................................................................� .............................. o Yes <br />Documented observations requiring corrective action and corrective action takers. (if applicable): <br />No%: No values are required as part of fbe land application operation. <br />Date/time:.? /i /,�I� @ ' 10 Signature:A✓ t= 1 Opexatioxxs Manager <br />Ruben Ramirez <br />