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MI016V<e \ 1 <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions:p <br />'i emperature: "67- <br />Wind direction:-- Wind speed: <br />Other relevant Field conditions: <br />Evidenceof erosion ...................................................................................,.p-fib ......,....................... o Yes <br />Bernscondition........................................................................................... p,(3766od .......................... ❑ Needs attention <br />Soilsaturation..............................................................................................,� ................... I.......... <br />o Yes <br />Ponding......................................................................................................... . n1lo .............................. <br />o Yes <br />Potential runoff to off-site areas............................................................. r1<0 .............................. <br />o Yes <br />Potential discharge to surface water......................................................o .............................. <br />o Yes <br />Actual discharge to surface water.......................................................... <br />e'No .......... .................... <br />❑ Yes <br />Accumulation of organic solids..............................................................p-Pd"o <br />.............................. <br />o Yes <br />Soil clogging ........................ .......................................................................... <br />ei'1\To ...............................ayes <br />Odors that have the potential to be objectionable at or <br />Yes <br />beyond the property boundary................................................................io <br />.........0..................... <br />© <br />Yes <br />Vectors (insects, rodents)........................................................................ <br />TNo .............................. <br />❑ <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note. No valves are required as part of'the laud application operation. <br />_ f r <br />/31� t S @ �v Signature: r P nag <br />llatc time: � `,'Title: Operations Manager <br />Ruben Ramirez <br />