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FORWARD INFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: rJ � <br />Wind direction: U t&t Wind speed: <br />( )flier relevant field conditions: <br />Evidence of erosion..., <br />................................................................................. d"No ............,................: ❑Yes <br />Bermcondition.................................................:.................:.....:................. A-G'od .......................... ❑Needs attention <br />Soilsaturation..............................................................................................t5 No .............................. ❑ Yes <br />Ponding......................................................................................................... E'Tio .............................. ❑ Yes <br />Potential runoff to off-site areas.............................................................. 110 .............................. ❑ Yes <br />Potential discharge to surface water ................................ I.................... U -No .............................. ❑ Yes <br />Actual discharge to surface water......................................................... �o .............................. a Yes <br />Accumulation of organic solids.............................................................. of N .............................. ❑ Yes <br />Soilclogging ................................................................................................ ❑No ............................ ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary..............................................................esSlTo .............................. ❑ Yes <br />'(sectors (insects, rodents).......................................................................❑No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves are trgi red us part of'the land application operation. <br />Date/time: toj5_ @ =05 Signature: <br />Ruben Ramirez <br />tie: <br />Operations Manager <br />