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R�W 11,411 <br />DAILY PRE -APPLICATION IC.A..N. I®N INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: a <br />Temperature: 6 <br />Wind direction: N UJ Wind speed:- <br />Other <br />peedOther relevant field conditions: <br />Evidence of erosion.....................................................:..............................11N'o ....... :....................... a Yes <br />Bermcondition.....................................................................................:...... a"Glood.......................... o Needs attention <br />Soilsaturation............................................................................................... [3-Ncr ............................. <br />o Yes <br />Ponding.......................................................................................................�° ............................. <br />a Yes <br />Potential runoff to off-site areas............................................................. o .............................. <br />a Yes <br />Potential discharge to surface water ...................................................... 9,N0 .............................. <br />❑ Yes <br />Actual discharge to surface water ..........................................................bio .............................. <br />o Yes <br />Accumulation of organic solids.............................................................90 .............................. <br />oyes <br />Soilclogging...............................................................................................T 1 _ .............................. <br />Yes <br />Odors that have the potential to be objectionable at or <br />beyond boundary <br />,,� <br />© Yes <br />the property ................................................................P-T;ro <br />.............................. <br />Vectors (insects, rodents)......................................................................� .............................. <br />❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />.Note.- No values are nguired as part of the land application operation. <br />Date/time: / •;�O/ y @ _ —1 Signature: Title: Operations Manager <br />Ruben Ramirez <br />