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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements order No. R5-2014-0006 <br />Weather conditions: a . <br />Temperature: 5 <br />Wind direction: *::0'r- Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion ......... ............................................ :....:....... :................ ...........................:.. o Yes <br />Berm condition.......................................................................................... .."Jel'mood...............:.......... ❑ Needs attention <br />Soil, saturation............................................................................................ ............................ <br />o Yes <br />Ponding........................................................................................................� <br />............................ <br />❑ Yes <br />Potential runoff to off-site areas............................................................ <br />le<o ............................. <br />o Yes <br />Potential discharge to surface water <br />.................................................../`° ` o .............................. <br />❑ Yes <br />Actual discharge to surface water.............. <br />............................................. No .............................. <br />o Yes <br />Accumulation of organic solids.............................................................. <br />No .............................. <br />o Yes <br />Soilclogging........................................................................................................... ............... o Yes <br />Odors that have the potential to be objectionable at or ! <br />beyond the property boundary...............................................................x o .............................. ❑ Yes <br />Vectors (insects, rodents)........................................................................ o No .............................. o Yes <br />Documented observations requiring corrective action and corrective action: taken (if applicable): <br />Note.- No valves are regzrired asearl o� f'the land application operation. <br />marc/time: Signature: �` Title: Operations Manner <br />r <br />Ruben Ramirez ti. <br />