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DAILY PRE -APPLICATION INSPECTION FORM <br />0 Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: S' b <br />.� ernperature: <br />Wind direction: Com- Wind speed <br />Othf-r relevant field cnnditinns- <br />Evidenceof erosion............................................................... :........... :......... dT�o ............................. o Yes <br />Berm condition..........................................................................................:... 15-G'ood .......................... ❑ Needs attention <br />Soilsaturation ..................................... ...................................:................................................oyes <br />Ponding.......................................................................................... a -1q-0 .............................. o Yes <br />Potential runoff to off --site areas........................................................... -01o .............................. ❑ Yes <br />Potential discharge to surface water ...................................................... a-1 or............................. o Yes <br />Actual discharge to surface water...........................................................P'110 1..........................:.. ❑ Yes <br />ro <br />Accumulation of organic solids..............................................................---.............................. o Yes <br />0 <br />clogging.................................................................................................'6 No .............................. o Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary..............................................................erl ............................. o Yes <br />Vectors (insects, rodents) .................. ................................................................................ o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note. No w/.ves are nquired as parl of the land aapp ication operation. <br />r <br />fate/time: @ 7=tX7 Signature: x J :Title: Operations Manager <br />Ruben Ramirez <br />