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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2034-0006 <br />Weather conditions: / Q <br />Temperature: <br />Wind direction: 4( <br />Other relevant field conditions: <br />Wind speed: <br />Evidenceof erosion...........................::....................................................... -e .............................. ❑ Yes <br />Berm condition .................. ... --< Good............... <br />.......................................... .......................... ........... ❑Needs attention <br />Soilsaturation............................................................................................,01&-o .............................. ❑ Yes <br />Ponding........................................................................................................ .............................. o Yes <br />Potential runoff to off --site areas..........................................................�o .............................. ❑ Yes <br />Potential discharge to surface water ..................... --E�o ... ❑ Yes <br />Actual discharge to surface water..........................................................'Zl�o ............................. o Yes <br />Accumulation of organic solids............................................................,EN<o-.............................. ❑ Yes <br />*clogging ................................................................................................ .........................................:16 --No .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property Yboundary................................................................ P-1<0 ..................... I........ ❑ Yes <br />Vectors (insects, rodents)........................................................................ D No .............................. o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />.No/4- No valves are required us part of the land application operation. <br />ate/time: / (i�/ .tot @ :a5 Signature: - Title: Operations Manager <br />Ruben Ramirez <br />