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DAILY PRE -APPLICATION INSPECTION ION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: 6 O <br />Wind direction: Wind speed: <br />Other relevant field conditions: <br />Evidence of erosion...............................................................I..................... x3"No ............:................. o Yes <br />Berm condition.............:........................................................................:....al:�ood.......................... ❑ Needs attention <br />Solisaturation...........................................................................................To .............................. <br />o Yes <br />Ponding ...................................... ..........................................................I........ <br />�l'o .............................. <br />O Yes <br />Potential runoff to off-site areas.............................................................zlgo <br />.............................. <br />❑ Yes <br />Potential discharge to surface water <br />..................................................... e'T�o .............................. <br />o Yes <br />Actual discharge to surface water.......................................................... <br />En"No .............................. <br />o Yes <br />Accumulation of organic solids............................................................. <br />An"'N o .............................. <br />❑ Yes <br />0 clogging........................................................................ <br />o .............................. <br />o Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property bound.......................................,Z<O .............................. o Yes <br />'hectors (insects, rodents) ....................................................................... �o .............................. o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves are required as par! of'the land apblication operation. <br />c me: 6 t gn <br />17? signature: <br />,..-."ride-Operations Manager <br />Ruben Ramirez <br />