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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: 6 Z <br />Wand direction: f� <br />Other relevant field conditions: <br />Wind speed: -0-- <br />Evidenceof erosion....................................................................................6 No .............................. o Yes <br />Berea condition ............... ............................................................. Good .......................... o Needs attention <br />Soilsaturation.............................................................................................. 4"IQo .............................. o Yes <br />Ponding ..................... .......... <br />.................................................................... R -f o .............................. a Yes <br />Potential runoff to off --site areas............................................................. PIKo .............................. o Yes <br />Potential discharge to surface water.....................................................7 "o .............................. 0 Yes <br />Actual discharge to surface water.......................................................... s<o ... I.......................... ❑ Yes <br />Accumulation of organic solids...............................................................W<O ..............................o Yes <br />Sclogging.................................................................................................0 O .............................. 0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary........................................................•--.....e<O .............................. o Yes <br />Vectors (insects, rodents).................�o ..............0 Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />No%: No oalks an, regian d GIP pail of the land appkeation opeiatibn. <br />l.�arc/tune:/.2i/ @.7:1J� Signature: <br />Ruben Ramirez <br />Operations Manager <br />