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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: Wind speed:' <br />Other relevant field conditions: <br />Evidenceof erosion ............................................................................. o .............................. 13 Yes <br />Berta condition ..........................................................................................�od ......................... 0 Needs attention <br />Soilsaturation ............................................................................................. 0 ---No .............................. o Yes <br />Ponding..................................... I .................................................................. a-90 . .............................. .* [3 yes <br />Potential runoff to off-site areas ............................................................... 0 ----No ............................. 0 Yes <br />Potential discharge to surface water ....:...............................................-d T .............................. 0 Yes <br />Actual discharge to surface water ........................................................• <br />0 No ............................. ayes <br />Accumulation of organic solids .............................................................. 'ED -NO . . ............................ 0 Y!, <br />Soilclogging ................................................................................................... ��o . ............................ o Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... 'M�o .............................. C3 Yes <br />Vectors (insects, rodents) ...................................................................... Z-2-150 ..... : ........................ 13 Yes <br />Documented observations requiting corrective action and corrective action taken (if applicable): <br />Note No valves are required as pari of the land application operation. <br />Date/time: 7'. (0 Signature: Operations Maniger <br />gfJ,&A @ Ruben Ramirez Title: 0 0 <br />