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DAILY PRE -APPLICATION TION I S EC i ION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />'! ctnperature: <br />Wind direction: $! <br />Other relevant field conditions: <br />Wind speed: f: ' ° <br />Evidenceof erosion ....... ............... ................................................................ 23 -fro ❑ Yes <br />]Berm condition............................................................................................. c1'Good ........ ....:............. ❑ Needs attention <br />Soilsaturation............................................................... ................... ........ ... tv.o •............................. ❑ Yes. <br />Ponding.........................................................................................................12r'1V o •••........................... o Yes <br />Potential runoff to off-site areas........................................................................................ ❑ Yes <br />Potential discharge to surface water ..................................................... o o ............................... ❑ Yes <br />Actual discharge to surface water...................................................................................... o Yes <br />Accumulation of organic solids.............................................................. Calf or ............................ ❑ Yes <br />Soil clogging ....................... <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 (i£ applicable): <br />Nole; No valves are regArired as part of'the land aplicalion operation. <br />Date/time: 8' /�^./-&6; Q 7%t0 Signature: <br />,-Title: Operations Manager <br />Ruben Ramirez <br />C <br />