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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: o <br />Tem1wrature: <br />Wind direction: Is Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion ...................................... :.............. .............. :...............�o .............................. ❑ Yes <br />Berm condition ........... :.:.............................................................................. pZood.......................... ❑ Needs attention <br />Soilsaturation............................................................. .... ...... ....................... 0<0 .............................. ❑ Yes <br />Ponding.......................................................................................................... E3'1�ro .............................. ❑ Yes <br />Potential runoff to off-site areas............................................................. Q -No .............................. ❑ Yes <br />Potential discharge to surface water ...................................................... 53-11ro ................... ..... ❑ Yes <br />Actual discharge to surface water..........................................................P-14�0 .............................. ❑ Yes <br />Accumulation of organic solids..............................................................7f—o-.............................. ❑ Yes <br />clogging..................................................................................................d No .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property bounds..........................................�o .............................. ❑ Yes <br />Vectors (insects, rodents) ................................... —................................. 'in -No •............................. ❑ Yes <br />]Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No values an rrgAtired as parr of the land applfcation operation. <br />bate/time• •1 S Signature: ,Title: Operations Manager <br />Ruben Ramirez <br />