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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 />Temperature: <br />Wind direction: v! <br />Other relevant field conditions: <br />Wind speed: 7 u4 k <br />Evidenceof erosion................................................................................. <br />o .............................. <br />o Yes <br />Berm condition............................................................................................0od.......................... <br />❑Needs attention <br />Soilsaturation............................................................................................... <br />R40 ............................ <br />❑ Yes <br />Ponding......................................................................................................... <br />olio .............................. <br />❑ Yes <br />Potential runoff to off-site areas............................................................. <br />91110 .............................. <br />❑ Yes <br />Potential discharge to surface water.....................................................121<0 <br />..:................... ...... .. <br />❑Yes <br />.....................................o <br />Actual discharge to surface water ...................... <br />PINO .............................. <br />Yes <br />Accumulation of organic solids.............................................................�o <br />......... I.................... <br />❑ Yes <br />Soilclogging ..............................................................................................�o .............................. <br />❑ Yes <br />Odors that have the potential to be objectionable at or <br />boundary <br />❑ Yes <br />beyond the property ................................................................,el'o�.............................. <br />Vectors(insects, rodents).................................................................................................. <br />❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note. No valves are required aspart of'the land application operation. <br />llate time: 1-1201 A01 "'@ 7:1c> Signature: '��L e �`' �� �"%`��'`✓` de: Operations Manager <br />Ruben Ramirez <br />4 <br />