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DAILY PRE -APPLICATION INSPEC'T'ION FORM <br />0 Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: O <br />"ITcmperaturc: 56 <br />Wind direction: ai V Wind speed: <br />Otl►er relevant field conditions: <br />Evidence of erosion .................................................................................-oNo ..... I........................ ❑ Yes <br />Berm condition.......................Good.......................... ❑ Needs attention <br />Soilsaturation.............................................................................................-et"iZo .............................. ❑ Yes <br />Ponding.........................................................................................................eprf;To .............................. ❑ Yes <br />Potential runoff to off-site areas..............................................................dNo .............................. ❑ Yes <br />Potential discharge to surface water..................... .a-lgo ..... ❑ Yes <br />Actual discharge to surface water.......................................................... ego <br />.............................. ❑Yes <br />Accumulation of organic solids..............................................................Z-6o .............................. ❑ Yes <br />4k <br />clogging...................................................................................................0.90 .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or �� <br />beyond the property boundary.................................................................rl No .............................. ❑ Yes <br />Vectors (insects, rodents).......................................................................: Io .............................. © Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Node: No valves are regaind as parl of the lana applisafion operation. <br />fate/time: � 11; /Zoos @ ` Los` Signature: ;` `Title: Operations Manager <br />Ruben Ramirez <br />