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DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. RS -2014-0006 <br />Weather conditions: <br />'1 emperaturc: J < <br />Wind direction: Ltl <br />C )thee relevant field conditions: <br />Wind speed: <br />• <br />Evidenceof erosion................................................................................. ............................ <br />a Yes <br />Bermcondition......................................................................................... <br />— <br />-O Good.......................... <br />❑ Needs attention <br />Soilsaturation............................................................................................. <br />112"150 .......................... <br />o Yes <br />Ponding........................................................................................................t- <br />No .............................. <br />o Yes <br />Potential runoff to off-site areas........................................................... <br />No .............................. <br />o Yes <br />Potential discharge to surface water............................................................................... <br />Actual discharge to surface water........................................................No <br />.............................. <br />o Yes <br />o Yes <br />Accumulation of organic solids......................................................................................o <br />Yes <br />Soil clogging ................................... <br />.. <br />o Yes <br />®dors that have the potential to be objectionable at or <br />beyond the property boundary............................................................... <br />..E-3Qo .............................. <br />o Yes <br />Vectors (insects, rodents) ...................................... <br />o No .............................. <br />o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole: No valves are trquired as parr o, f the land applicataon operulion. <br />Date/time: FIAU;pc @,[E) Signature: <br />Ruben Ramirez <br />Operations Manager <br />