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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPEC'T'ION FORM <br />Waste Discharge Requirements Order No. R5-2414-0006 <br />Weather conditions: q e <br />Tctnperaturc: 1 <br />Wind direction: t4 W Wind speed: `� rel'►_ <br />Other relevant field conditions: <br />Evidenceof erosion................................................................................:...ea N' o .............................. <br />❑ Yes <br />..................................................:.............:... <br />Berm condition ...................... 6--G-ood .......................... <br />❑ Needs attention <br />Soilsaturation............................................................................................. refNo .......:,...................... <br />❑ Yes <br />Ponding.........................................................................................................fir -Pdo ......................... ❑ Yes <br />Potential runoff to off-site areas..........................................................."Z'No ............................... ❑ Yes <br />Potential discharge to surface water.....................................................,,o'No .............................. ❑ Yes <br />Actual discharge to surface water.......................................................... 4:1<0 ............................ ❑ Yes <br />Accumulation of organic solids.............................................................,e'No ............................. ❑ Yes <br />Soil clogging .... ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary............................................................. o ........................ ❑ Yes <br />Vectors (insects, rodents) ................................................... <br />.................... ....................... ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole. No values erre regvired as parl of'the land app&aaion operulron. <br />Date/time: <br />Signature: <br />Ruben Ramirez <br />=Title: <br />Operations Manager <br />