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DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. Rb -2014-0006 <br />Weather conditions: <br />Q <br />Temperature: <br />b <br />Wind direction: M !U Wind speed: G s , <br />Other relevant field conditions: <br />Evidenceof erosion ................................................... :............................... No .......................:...... <br />❑ Yes <br />Bermcondition.....................................................................:..................... <br />o Good......:........:..:....... <br />o Needs .attention <br />Soilsaturation....................................................................:.......................... <br />in -No .............................. <br />❑ Yes <br />Ponding.......................................................................................................elj <br />o .............................. <br />❑ Yes <br />Potential runoff to off-site areas..........................................................�" <br />Potential discharge to surface water <br />Actual discharge to surface water.......................................................... <br />o .............................. <br />...................................................::'o---.N o .............................. <br />❑ No .............................. <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />Accumulation of organic solids.............................................................. <br />45 -No .............................. <br />❑ Yes <br />Soil clogging ........................ <br />.. <br />❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................ 1 0 .............................. ❑ Yes <br />Vectors (insects, rodents)........................................................................'c3'No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note. No valves are tvquired as part of the land application operation. <br />Date/time: $ / /2- o1y:__- @ I'm Signature:" - ". �`_' Title: Operations Maxzager <br />Ruben Ramirez <br />