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• FORWARD LANDMILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R-5-2014-0006 <br />Weather conditions: <br />TeMperatuxe: <br />Wind dir6ction: Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion ................................................................................... P;,90 ...............................o Yes <br />Bermcondition .................................................. ......................................... Ri3ood ......................... 0 Needs attention. <br />Soilsaturation ............................................................................................... ONO .............................. 0 yes <br />Pondink............................................................................................. I ............ PI&O ............................... 0 yes <br />Potential runoff to off-site areas ............................................................. ;YNO .............................. o Yes <br />Potential discbarge to surface water ...................................................... Pr -NO .............................. 13 yes <br />Actual discharge to surface -water .......................................................... 01"NO .............................. 0 yes <br />Accumulation of organic solids ............................................................... ZINO .............................. E3 Yes <br />clogging ................................................................................................. <br />.............................. 0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property, boundary ....................................................... ijo .............................. 0 yes <br />'Vectors (insects, rodents) ................................................................... ................................ 0 yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves are required as part of the land appkca6on oerafim <br />Date/time: Title: Operations MAniger <br />0 Ruben Ramirez <br />