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0 1 0 <br />DAILY $ PRE -AP LIC.A..1, ION INSPECTION FORM <br />0 Waste Discharge Requirements Order No. R5-20140006 <br />Weather conditions: p <br />Temperature: <br />Wind direction: Ii UJ Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion.................................................................................... 6 No .............................. ❑ Yes <br />Bermcondition ................................................ .................... :— .................. .rCS 600d.......................... ❑ Needs attention <br />Soilsaturation.............................................................................................: �o .............................. © Yes <br />Ponding......................................................................................................... 9'N° .............................. ❑ Yes <br />Potential runoff to off-site areas ........................ .....................................e 'fV .............................. ❑Yes <br />Potential discharge to surface water... .......... I .................... ............. .. ET -1 .............................. ❑ Yes <br />Actual discharge to surface water ..................... ....................................�......... I.................... ❑ Yes <br />Accumulation of organic solids.............................................................. t No ............. I................ ❑ Yes <br />clogging............................................................................................... No .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property Yboundsry...............................................................tlNo .............................. o Yes <br />Vectors (insects, rodents).......................................................................�' o "".......................... ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole.• No valves are repitvd asearl oj'the land abiiluation operation. <br />*Lte/tirne: D Signature. Title: Operations Manager <br />Ruben Ramirez <br />