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FORWARD 1ANDMU <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: 0, <br />Tempe=ttire: 56 <br />Wind dir6ction: -6- Wind speed. <br />Other relevant field conditions: <br />Evidenceof erosion ................................................................ I .......... — ...... P.:,f4o .............................. 13 yes <br />Be=bL condition ........................................................................................... fi!rGood ......................... c3 Needs attention <br />Soilsaturation .......................................................................................... ....,2rNo .............................. 0 Yes <br />Ponding......................................................................................................... �Wfo ............................... 0 Yes <br />Potential runoff to off-site areas ............................................................. <br />'No .............................. C3 Yes <br />Potential discharge to surface water .................... I ............................. F-fqO .............................. C3 Yes <br />Actual discharge to surface water .......................................................... ;31"No .............................. 0 yes <br />Accumulation of organic solids ............................................................... ONO .............................. C3 Yes <br />clogging .......................................... ..................................................... <br />-X0 ............................... 0 Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ................................................................ 23 No .............................. C3 yes <br />Vectors (insects, rodents) ....................................................................... X -&O ............................... o Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note. No valves are required axparr of the land appficafion operation. <br />Date/time: ! b of 4 @*1:'30 Signature: Title.• operations MazuigeX <br />Ruben Ramirez <br />