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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: 61 <br />Wind direction: N W Wind speed: R na96 <br />Other relevant field conditions: <br />Evidenceof erosion.....................................................................................16 .............................. o Yes <br />Berxxa. condition.......................................................................................... <br />..6 Good .......................... ❑ Needs attention <br />Soilsaturation.......................................................................:....................... refo ...................I.......... <br />❑ Yes <br />Ponding......................................................................................................... d No .............................. <br />❑ Yes <br />Potential runoff to off-site areas............................................................. '6No .............................. <br />❑ Yes <br />Potential discharge to surface water <br />.................................................... No .............................. <br />❑ Yes <br />Actual discharge to surface water.......................................................... ❑ No .............................. <br />❑ Yes <br />Accumulation of organic solids.......................................................................................... <br />❑ Yes <br />Soilclogging................................................................................................J" 1"" .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary..............................................................o................................ ❑ Yes <br />Vectors (insects, rodents)......................................................................... 31<01 <br />1 0 •............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />.Note: No w1ves are nqi red us part q(the land applacaiion optralzon. <br />hate/tirne: F/S"_ @ 7`1Signature: <br />f <br />—.,Aide: <br />Ruben Ramirez <br />Operations Manager <br />C, <br />