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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 />Ternpemtuxe: 6D <br />Wind direction: Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion ....................................................................................isO .............................. 0 yes <br />Be=a condition ........................................................................................... 0'tood ......................... o Needs attention <br />SoilsatLzration, ............................................................................................... ONO .............................. 0 Yes <br />Ponding......................................................................................................... P'*fqo .............................. 0 yes <br />Potential runoff to off-site areas ............................................................. ;YNO .............................. 13 Yes <br />Potential discharge to surface water ...................................................... XINO .............................. 13 Yes <br />Actualdischarge to surface water ........................................................... MINO .............................. 0 Yes <br />Accumulation of organic solids .............................................................. ffl*No .............................. 13 Yes <br />isclogging .................................................................................................. qO .............................. 13 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary............................................................... 101"No ............................... 0 yes <br />Vectors (insects, rodents) ................................................................. ................................ o Yes <br />Documented observations requiting corrective action and corrective action taken (if applicable): <br />Note: No =Ives are requind as part ofThe land app&afion operation. <br />Date/time: JIJ <br />eurations Man�ger <br />Signature: Ao� Title: OP <br />Ruben Ramirez <br />