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DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: 62 - <br />Wind <br />2..Wind direction: <br />Other relevant field conditions: <br />Wind speed <br />Evidenceof erosion...................................................................................,.e-I'o .............................. ❑ Yes <br />Berm condition.....................................................:..................I.................... &IC§ood......... I................. ❑ Needs attention <br />Soilsaturation......................................:....................................................... 12'No .............................. ❑ Yes <br />Ponding.................................................... .................................................... .e�Vo .............................. ❑ Yes <br />Potential runoff to off-site areas............................................................. �.............................. ❑ Yes <br />Potential discharge to surface water ............................. ..... ................... . 2r< ............:................. ❑ Yes <br />Actual discharge to surface water.......................................................... t5 No .................... .. ❑ Yes <br />................... ........ <br />Accumulation of organic solids.............................................................. ;a -f0.............................. ❑ Yes <br />Soilclogging.................................................................................................r6Na .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................ elo .............................. ❑ Yes <br />Vectors(insects, rodents)....................................................................... No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves are required as part of the land application operation. <br />Date1] <br />/time: l` /fir S' 7 ; 1 ; S' tire: �' - M �f �... �:.:r Title: Operations Manager <br />/ Z/ @ <br />Aube' Ramirez✓yY <br />