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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: 63 <br />Wind direction: U W Wind speed: Z rru.QT_ <br />Other relevant field conditions: <br />Evidenceof erosion...................................................................................,. 0 .,............................ ❑ Yes <br />Berm condition......................................................................................... <br />od.....:.................... ❑ Needs attention <br />Soilsaturation............................................................................................moo ........................:.... ❑Yes <br />Ponding........................................................ .................................................�.............................. ❑ Yes <br />Potential runoff to off-site areas.............................................................. O l 0 .............................. ❑ Yes <br />Potential discharge to surface water ................................................... n Io ............................... ❑ Yes <br />Actual discharge to surface water........................................................... ANO ............................: ❑ Yes <br />Accumulation of organic solids............................................................... ❑oN ............................. ❑ Yes <br />cloin....................................................................�.............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary................................................................. 2�0 ............................. ❑ Yes <br />Vectors (insects, rodents)........................................................................ Po --............................ ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note.' No valvirs are regmired as pard of the land application operation. <br />41pate/time: a Signature: <br />Ruben Ramirez - <br />Operations Manager <br />