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FORWARD LANDFILL <br />DAILY PRE -APPLICATION LICATI®N INS3PECTION FORM <br />Waste Discharge Requirements Order No. R5-201.4-0006 <br />Weather conditions:`� d <br />"1.'cmperaturc: f <br />Wind direction: NUJ Wind speed t� uun�t <br />Other relevant field conditions: <br />Evidenceof erosion........................................................................:......... No .............................. ❑ Yes <br />Bermcondition........................................................................................... 7ood ........................... ❑ Needs attention <br />Soilsaturation...........................................................................................,-Ef'No .............................. ❑ Yes <br />Ponding......................................................................................................... r} -M -0 o .............................. ❑ Yes <br />Potential runoff to offsite areas..............................................................a' o .............................. ❑ Yes <br />Potential discharge to surface water....................................................p--ITo .............................. ❑ Yes <br />Actual discharge to surface water........................................................... P1,350 .............................. ❑ Yes <br />Accumulation of organic solids.............................................................. frilq—o ............................... ❑ Yes <br />Soilclogging................................................................................................ 9'� ........................... ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary.............................................................................................. a Yes <br />Vectors (insects, rodents)......................................................................."i- No .............................. ❑ Yes <br />Documented observations requiring corrective action and corrective action taken (i£ applicable): <br />Nobe: No valves are required as par! Y'rhe land application operadon. <br />Date/time: ! /9& X01 @ 1o1— Signature: <br />Ruben Ramirez .", <br />Title: Operations Manager <br />