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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECY'ION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: S <br />Temperature: <br />Wind direction: `I 'W'Af Wind speed: G 'ph <br />Other relevant field conditions: <br />Evidence of erosion ................ .... ef I �o .............................. ❑ Yes <br />Beancondition.............................................................................................e e&od .......................... ❑ Needs attention <br />Soilsaturation............................................................................................ �o .............................. ❑ Yes <br />Ponding................................................................................................ ... ❑ Yes <br />Potential runoff to off-site areas............................................................I 6'N- o .............................. <br />❑ Yes <br />Potential discharge to surface water <br />...................................... ........... ..5No .............................. <br />❑ Yes <br />Actual discharge to surface water........................................................... <br />0-<o .............................. <br />❑ Yes <br />Accumulation of organic solids..............................................................1° <br />41 clogging................................................................................................. <br />z o .............................. <br />�bNo.............................. <br />❑ Yes <br />❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary............................................................. No .............................. ❑ Yes <br />Vectors(insects, rodents)........................................................................ivi` `o .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole: No valves are ngAa ed as par! of'lhe land application operarion. <br />foate/time: :10 Signature: <br />f 'Title: Operations Manager <br />Ruben Ramirez <br />