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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. RS -2014-0006 <br />Weather conditions: e <br />Tcmperaturc: <br />Wind direction: N W Wand speed: <br />Other relevant field conditions: <br />Evidenceof erosion..........................................................................I........'alo ...................:.......... o Yes <br />Berracondition ............................................. ......................... :................... od...................... o... o Needs attention <br />Soilsaturation.................................................................:........:.................... ......... :..................... <br />o Yes <br />Ponding.......................................................................................................:P"1"" <br />'•••............................. <br />o Yes <br />Potential runoff to off-site areas........................................................... <br />.......................... <br />o Yes <br />Potential discharge to surface water <br />..................................................... P -N" .............................. <br />o Yes <br />Actual discharge to surface water....................................................................................... <br />o Yes <br />Accumulation of organic solids..............................................................01<0 <br />............................ <br />el <br />o Yes <br />Soilclogging................................................................................................. <br />r o -------------------------- <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)............................................................................................... o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole. No valves are regA red as part y-xbe land application operation. <br />Date/time: _Y 1d12l_S @ Q Signature: <br />Title: Operations Manager <br />Ruben Ramirez <br />