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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: D <br />Temperature: <br />Wind direction: is W Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion.................................................................................. No .............................. ❑ Yes <br />Bermcondition..........................................................................................: ood .......................... ❑ Needs attention <br />Soilsaturation ................................... ......................................................... No .............................. ❑ Yes <br />Ponding................................................................,0-15-0 .............................. ❑ Yes <br />]Potential runoff to off-site areas............................................................. n Ivo .............................. o Yes <br />Potential discharge to surface water ............................... ....................� .............................. ❑ Yes <br />Actual discharge to surface water.......................................................... 01ro .............................. o Yes <br />Accumulation of organic solids.............................................................� <br />o. ............................. ❑Yes <br />is <br />clogging.................................................................................................�............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary............................................................... �- -'............................ ❑ Yes <br />Vectors (insects, rodents) ........................................................................ 4 No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole. No values are required as part of the land appration operation. <br />fate/time: <br />.7 DS` <br />Signature: <br />Title: Operations Manager <br />Ruben Ramirez <br />