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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: S <br />i"ctnPeraturc: <br />Wind direction: IU JU Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion................................................................................. ............................. ❑ Yes <br />Bermcondition .............................................. :.......................................... od....................... :.. ❑ Needs attention <br />Soilsaturation.............................................................................................. K '............................. ❑ Yes <br />Ponding..........................................................................................................e'No .............................. ❑ Yes <br />Potential runoff to off-site areas........................................................................................ ❑ Yes <br />Potential discharge to surface water.....................................................e1No .............................. ❑ Yes <br />Actual discharge to surface water................................................................................... ❑ Yes <br />Accumulation of organic solids........................................................................................ ❑ Yes <br />9 <br />clogging........................................................................................... No ............................ ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary.............................................................. .-ado .............................. a Yes <br />Vectors (insects, rodents)......................................................................f,-r�o .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note. No valves are requitrd us part of'the land application operation. <br />fate/time: 15� `i S nature. <br />_/�Q/�2_ @ Js2 ig <br />,,-title: Operations Manager <br />Ruben Ramirez <br />