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FORWARD. IANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-20140006 <br />Weather conditions: <br />Temperature: 6 <br />Wind direction: Wind speed: <br />Other relevant field conditions: <br />Evidence of erosion....................................................................................11 No .............................. ❑ Yes <br />Berm condition............................................................................................ja-15ood.......................... o Needs attention <br />Soilsaturation..............................................:.................................................� .............................. d Yes <br />Ponding......................................................................................................... 9 -No .............................. ❑ Yes <br />Potential runoff to off-site areas.............................................................3X0.............................. ❑Yes <br />Potential discharge to surface water <br />.....................................................io .............................. ❑ Yes <br />Actual discharge to surface water.......................................................... <br />r�To .............................. ❑ Yes <br />Accumulation of organic solids.............................................................. <br />0<0 .............................. ❑ Yes <br />4k clogging................................................................................................ <br />.............................. 11 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................ 0<0 .............................. ❑ Yes <br />Vectors (insects, rodents).......................................................................�o .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole: No values are nquired as purl of'the land application operation. <br />Date/time: 7 /32/, &2a @7110 Signature: r es` ,� .�•' �� ' ' tle• Operations Manager <br />Ruben Ramirez <br />