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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. RS -2014-0006 <br />Weather conditions: <br />Tempetatuxe: <br />Wind dirictioix: 6— Wind speed <br />Other relevant field conditions: <br />Evidenceof erosion ..................................................... I ........ I ...................... .............................. 0 yes <br />Berriecondition ............................................................................................ 0tood ......................... o Needs attention <br />Soilsaturation ............................................................................................... WNO .............................. 0 yes <br />Ponding......................................................................................................... IR-f4o ............................... 0 Yes <br />Potential runoff to off-site areas .............................................................. 7NO ............................. , E3 Yes <br />Potential discharge to surface water ...................................................... . car 1�0 .............................. [3 yes <br />Actual discharge to surface water ........................................... ........................ 0 Yes <br />Accumulation of organic solids ...... ........................................................ )Z"N'o .............................. E3 yes <br />clogging ......................)2rNo .............................. 0 yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary .................................................. 1 -11 ---in No ............................... 13 Yes <br />Vectors (insects, rodents) ................................................................. PNo ............................... M Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note.- No valves are reqgimd as part of the land application operation. <br />Date/time: Signatuxe:tu- Aq,-r- Title: Operations Alaniger <br />Ruben Ramirez <br />