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FORWARD LANDFILL <br />40 <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: o <br />'remperaturc: 60 <br />Wind direction: Wind speed: <br />( )tlier .relevant field conditions: <br />Evidence of erosion...................................................................................rd"No .............................. ❑ Yes <br />Berm condition........................................................................................... �Good............:............. ❑ Needs attention <br />Soilsaturation..........................................................................................Ja-t�o .............................. ❑ Yes <br />Ponding........................................................................................................OA!rNp... ❑ Yes <br />........................... <br />Potential runoff to off-site areas............................................................. 9- o ...................... I....... ❑ Yes <br />Potential discharge to surface water <br />..................................................... o ....I....................... ❑ Yes <br />Actual discharge to surface water..........................................................b <br />No .............................. ❑ Yes <br />Accumulation of organic solids............................................................., <br />clogging............................................................................................... <br />0 .............................. ❑ Yes <br />o .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ................................................................o No .............................. ❑ Yes <br />Vectors (insects, rodents)....................................................................... tr1No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />No/e• No valves erre regzrired as par/ oj'tbe laud application opera/ion. <br />1patc/titnc: 00 — T: W Signature: <br />`'itle: <br />Ruben Ramirez <br />Operations Manager <br />