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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: <br />Temperature: <br />Wind direction: IJ W Wind speed: <br />Other relevant held conditions: <br />Evidence of erosion...................................................:...............................ib No .............................. ❑ Yes <br />Berm condition..............................................:..............................................r Good.....................,...: ❑ Needs attention <br />Soilsaturation.............................................................................................. ............................... ❑ .Yes <br />Ponding........................................................................................................ plmo�............................. ❑ Yes <br />Potential runoff to off-site areas............................................................o .............................. ❑ Yes <br />Potential discharge to surface water ..................................................... P -N° .............................. ❑ Yes <br />Actual discharge to surface water.........................................................12 110 .............................. ❑ Yes <br />Accumulation of organic solids............................................................. ... 0-<O .......... I................... o Yes <br />............................................................................ o <br />*clogging .................... .- <br />..............................❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary............................................................... 0o .............................. ❑Yes <br />Vectors(insects, rodents)......................................................................- -bNo .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Nole. No values are required as part o, f the /.and appli aden operation. <br />Oate/time: I13/ <<S@ <br />Signature: <br />,-Title: Operations Manager <br />Ruben Ramirez <br />