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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 />Temperatute: 6/4 <br />Wind direction: <br />Offier relevant field conditions: <br />Wind speed: S �i <br />Evidenceof erosion....................................................................................Z--<o .............................. ❑ Yes <br />Berm condition............................................................................................X�&od.......................... ❑ Needs attention <br />Soilsaturation.............................................................................................�o .............................. ❑ Yes <br />Ponding........................................................................... b- No .............................. ❑ Yes <br />Potential runoff to off-site areas.............................................................R-50 .............................. ❑ Yes <br />Potential discharge to surface water ...................... :.............................. Z- io .............................. ❑ Yes <br />Actual discharge to surface water..........................:..............................�o .............................. ❑ Yes <br />Accumulation of organic solids...............................................................Z<a .............................. ❑ Yes <br />is <br />clogging.............................................................................................0-No .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary..................................................................Z-<o— ........................... ❑ Yes <br />Vectors (insects, rodents)....................................................................... No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves are nqmired Qs pare of tfJe land a�ipfi ailon Operation. <br />Date/time:i/&f12o( @ 7'ro Signature: Jf�Operations Manager <br />Ruben Ramirez <br />