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DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: 6 2 <br />Wind direction: Wind speed: <br />Other relevant field conditions: <br />Evidence of erosion .................... -d�o ........... ❑ Yes <br />Berm condition............................................................................................e'Good.......................... ❑ Needs attention <br />Soilsaturation.......................................................... ..................... ................. jP11�2 .............................. ❑ Yes <br />Ponding.................................................................................... C�o............................ ❑ Yes <br />Potential runoff to off --site areas .... .......................................................... j2rKo .............................. ❑ Yes <br />Potential discharge to surface water.....................................................12r'<0 ..........:................... ❑ Yes <br />Actual discharge to surface water.......................................................... .............................. ❑ Yes <br />Accumulation of organic solids...............................................................ETNo .............................. ❑ Yes <br />clogging.................................................................................................6 No .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary.................................................................0- -0 .............................. ❑ Yes <br />Vectors (insects, rodents) ........................................... ............................ rk' <0 .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note. No valves are rrgrvired as part of the laud application operation. <br />Dare/tune: <br />Signature: _ <br />°Title: Operations Manager <br />Ruben Ramirez ✓ <br />