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DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-20140006 <br />Weather conditions: a <br />Temperature: :� 3 <br />Wind direction: N w <br />Other relevant field conditions: <br />Wind speed: 3 M ielll� <br />Evidence of erosion....:..............................................:............................. <br />.. ❑ Na .............................. ❑ Yes <br />Bermcondition........................................................................................:l© Good..........:................. ❑ Needs attention <br />Soilsaturation............................................................................................. ❑�' No .............................. ❑ Yes . <br />Ponding ........... <br />.............................................................................................. No .............................. ❑ Yes <br />Potential runoff to off-site areas................................................................................... © Yes <br />Potential discharge to surface water.....................................................❑�4dtf............................. ❑ Yes <br />Actual discharge to surface water ........................................................ �............................. ❑ Yes <br />Accumulation of organic solids..............................................................0"No •••.•......................... ❑ Yes <br />Soil clogging ........................ ......... No ❑ Yes <br />.............................................................. .............................. <br />Odors that have the potential to be objectionable at or ,,.---� <br />beyond the property boundary................................................................ a`N0 .............................. ❑ Yes <br />Vectors(insects, rodents)........................................................................ ❑ o .............................. © Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />No% No valves are required as par! f the land application operation. <br />Date/time:/y/ @"-�r2 Signature: ,-Title: Operations Manager <br />Ruben Ramirez <br />C <br />n <br />