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r I +/ 03 OB WO I QN <br />Weather conditions: 99 <br />a <br />Teamperatuiie: <br />Wind direction: e— Wind speed:- <br />Other <br />peed:Other relevant field conditions: <br />C-Vidence of t •r ♦, e Yes <br />Fond.lin.g.........................................................................................................o.............................. ❑ Yes <br />Potential runoff to of -site areas...............................................................�No.............................. ❑ Yes <br />Potential discharge to surface water....: ................................................. PNo.............................. ❑ Yes <br />Actualdischarge to surface water......................................................... Na .............................. ❑ Yes <br />Accumulation of organic solids..............................................................�No.............................. ❑ Yes <br />clogging................................................................................................fiTIN, <br />0 .............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />beyond «' property boundary . A40 <br />Vectors (insects, rodents)....................................................................... jz"NO ................................ ❑ Yes <br />Note: No valves arc required as pard of the land application operation. <br />Date/time: 1�� 1 6 @ 7�c�3`— Signature: Title OperationsManiger <br />® Ruben Ramirez <br />