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DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperaturc: 6!1 ° <br />Wind direction: Wind speed: <br />Odder relevant field conditions: <br />Evidenceof erosion..................................................................................-,l:JNo ............................... o Yes <br />Berm condition............................................................................................. eGood.......................... ❑ Needs attention <br />................e'i i4o ❑ Yes <br />Soil saturation....................................................:.................:........ .............................. <br />Ponding......................................................................................................... ItT90 .............................. ❑ Yes <br />Potential runoff to off-site areas............................................................ro"Isro.............................. o Yes <br />Potential discharge to surface water .............................. 4 ..................... It-,<............................. ❑ Yes <br />Actual discharge to surface water...........................................................e'No .............................. o Yes <br />Accumulation of organic solids.............................................................. la'No .............................. o Yes <br />clogging............................................................................. 5 No .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or �--- <br />beyond the property boundary.................................................................e7 N o .............................. ❑ Yes <br />Vectors (insects, rodents)................................................................................................. o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note. No valves are required asearl of'the land application operation. <br />Date/time: 7 /zf/�`@ 7.r5 Signature: ' isle: Operations Manager <br />Ruben Ramirez <br />