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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />is Waste Discharge Requirements Order No. R5-20140006 <br />Weather conditions: o <br />'Feinperature: <br />Wind direction: AJ VI Wind speed: Z r-,? <br />Other relcvant field conditions: —� <br />Evidenceof erosion.....................................................................................6 No .......... I................... ❑ Yes <br />Berm condition..........................................................................................ZGood.......................... ❑ Needs attention <br />Soilsaturation.........................................................................................:.�.............................. ❑ Yes <br />Ponding..................................................................................................... ... <br />Potential runoff to off-site areas...........................................................:� , "............................. <br />❑ Yes <br />❑ Yes <br />Potential discharge to surface water <br />.................................................... No .............................. <br />❑ Yes <br />Actual discharge to surface water.......................................................... <br />Accumulation of organic solids..............................................................No <br />clogging................................................................................................. <br />0 ............:................. <br />.............................. <br />❑� ........................ <br />❑ Yes <br />❑ Yes <br />o Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary........................................................................................ o Yes <br />Vectors (insects, rodents)........................................................................ ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />No% Na vu/vis are reqA✓ired aspurl of'ihe /anal app&afaon operation. <br />fte/titae: -9/%b I&Z @ 1:10 Signature: <br />Title: Operations Manager <br />Ruben Ramirez <br />