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IEA TL Y PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 . <br />Weather conditions: <br />Temperature: <br />Wind direction: �-- <br />Other relevant field conditions: <br />Wind speed: <br />Evidenceof erosion.................................................................................e.-trNo .............................. ❑ Yes <br />Bermcondition..........................................................................................�ood.......................... ❑ Needs attention <br />Soilsaturation............................................................................................. Ko .............................. ❑ Yes <br />Ponding........................................................................................................ .............................. ❑ Yes <br />Potential runoff to off-site areas..............................................................P' f o .............................. ❑ Yes <br />Potential discharge to surface water ............................................ I........ 0110 .............................. ❑ Yes <br />/. <br />Actual discharge to surface water..........................................................$No ............................. C1 Yes <br />Accumulation of organic solids............................................................... W 10 .............................. ❑ Yes <br />Soil clogging ............................. ......,®'1 O ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary.............................................................. z -15 -No .............................. ❑ Yes <br />Vectors(insects, rodents).................................................................................................... ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nate: No valves are rrgxired as part y*tbe land application operation. <br />Date/time: 7 /26/ T.ois @ : } Signature:/T_;L: Operations Manager <br />Ruben Ramirez ✓ <br />n <br />:7 <br />