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DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: <br />Wind direction: Wind speed: <br />Offie:r relevant field conditions: <br />Evidenceof erosion..................................................................................... 1:5 No .............................. ❑ Yes <br />CGood.......................... o Needs attention <br />Beam condition............................................................................................ '❑ <br />Soilsaturation....................................................................................... dN�o .............................. ❑ Yes <br />Ponding......................................................................................................... e'1 o .............................. ❑ Yes <br />Potential runoff to off-site areas............................................................. �o .............................. ❑ Yes <br />Potential discharge to surface water ..................................................... I;) -No .............................. ❑ Yes <br />Actual discharge to surface water...........................................................1a'0 .......... :................... ❑ Yes <br />Accumulation of organic solids.............................................................. 2<o .............................. C3 Yes <br />Soilclogging................................................................................................ i No .............................. ❑ Yes i <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................ tTf o . ............................ ci Yes <br />Vectors (insects, rodents)........................................................................ 01 or ........................... ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No values are required as part oj`'the land application operation. <br />r , <br />Date/time: 7 / rte/ z.Qd @ `I _ t o Signature: �i'� ';_. r � :� %� tie: Operations Manager <br />Ruben Ramirez �,,. <br />