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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-20140006 <br />Weather conditions: 0 <br />Tccnperaturc: <br />Wind direction: ii y.T Wind speed: �P�a <br />Other relevant field conditions: <br />Evidenceof erosion..................................................................:............... --Ifr-No ......"I..................... ❑ Yes <br />Berm condition....................................................................................... �ood.......................... o Needs attention <br />.. ❑Yes <br />Soil saturation...................................................................:........................ . ❑❑................ .......... <br />Ponding ................... <br />...................................................................................:1JrTq'0 ....................... I...... ❑ Yes <br />Potential runoff to off-site areas...........................................................e6 No ............. ❑ Yes <br />Potential discharge to surface water......................................................1 N ^............................ o Yes <br />Actual discharge to surface water .................................................. ............................ o Yes <br />Accumulation of organic solids..............................................................1E` No .............................. o Yes <br />0 <br />clogging.................................:.....:........................................................-[''10 ............................ ❑ Yes <br />Odors that have the potential to be objectionable at or ,--- <br />beyond the property boundary..............................................................."6 No .............................. o Yes <br />Vectors (insects, rodents).........................................................................01V O ............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nobe.• No calms are regi red as part oftbe land application operation. <br />Date/time:-/J/2of5 @ 7: D Signature: <br />Ruben Ramirez <br />` `fide: <br />Operations Manager <br />