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FORWARD DFI LL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: O <br />'i ernperature: -i <br />Wind direction: 'A1 W Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion ..................................................... I ....... :..................... .,ego ........:..................... o Yes <br />Berracondition .........................................................................:................... xar"(!rood ........................... o Needs attention <br />Soilsaturation.........................................................................................:.... To .............................. o Yes <br />Ponding.....................................................................................................in o .............................. o Yes <br />Potential runoff to off-site areas............................................................�o .............................. o Yes <br />Potential discharge to surface water ..................................................... e'14;ro .......I...... ................ ❑ Yes <br />Actual discharge to surface water.......................................................... X30 .............................. o Yes <br />Accumulation of organic solids.............................................................. ef',.90 ............................. ❑ Yes <br />Soilclogging................................................................................................t!"No .............................. ❑ Yes <br />®dors that have the Potential to be objectionable at or <br />beyondthe property boundary............................................................... ,- .............................. o Yes <br />Vectors (insects, rodents).........................................................................6 No .............................. o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valets are nquirnd us parl o, f the land upp&aiiorr operation. <br />�a <br />llate/tzme:7. 4 .r �< ;;;:;l.,s• P <br />'i� Signature: :'f" ,Title: ®erasions Manager <br />Ruben Ramirez - <br />n <br />