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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: 4� Wind speed: <br />Otlier relevant field conditions: <br />Evidenceof erosion.................................................................................... ....:......................... o Yes <br />Bermcondition............................................................................:.....:........od.......................... o Needs attention <br />Soilsaturation ..........................................................................................:...-n . 5TO .............................. o Yes <br />Ponding.........................................................................................................olq�o..............................o Yes <br />Potential runoff to off-site areas........................................................... JIB -50 .............................. o Yes <br />Potential discharge to surface water.................................................................................. o Yes <br />Actual discharge to surface water.......................................................... tr<.............................. o Yes <br />Accumulationof organic solids.............................................................. ° .............................. o Yes <br />Soilclogging...............................................................................................J2-1o .............................. o Yes <br />Odors.that have the potential to be objectionable at or <br />beyond the property boundary................................................................2'<o ............................... o Yes <br />Vectors(insects, rodents)........................................................................ flvo .............................. o Yes <br />(Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valvex are regArdred as part of the land application operation. <br />Date/time:/l/@ �D Signature: <br />Ruben Ramirez <br />Title: Operations Manager <br />C; <br />n <br />