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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Ord= No. 25-2M-0006 <br />Weather conditions: <br />Temperature: i <br />Wind direction: 4— Wind speed: <br />Other relevant field conditions: <br />Evidenceof erosion ........................................................ I .......................... ll�o .............................. 0 yes <br />Berda condition........................................................................................... fi6"'Good ......................... 0 Needs attention <br />Soilsaturation ............................................................................................... ONo .............................. <br />0 Yes <br />Ponding............................... ........................................................................ <br />�Prfqo ............ . ............... : <br />C3 Yes <br />Potential runoff to off-site areas ............................................................. <br />Q -No .............................. <br />0 yes <br />Potential discharge to surface water ...................................................... <br />?-f-To .............................. <br />C] yes <br />Actual discharge to surface water ........... I ............................................... <br />XNO.....: ........................ <br />13 Yes <br />Accumulation of organic solids ............................................................... <br />0"No .............................. <br />0 Yes <br />clogging.................................................................................................. <br />W&O .............................. <br />0 yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... <br />12(No ............................... <br />0 yes <br />Vectors (insects, rodents) ................................................ , ....................... <br />ja"N' 0........ : .................... <br />13 Yes <br />Documented observations requg corrective action and corrective action taken (if applicable): <br />Note. No valves are required as para' of the land application aperafiox. <br />Date/time: Lo16 @Q5 sig=tUre.A4. Mitle: Operations Maniger <br />Ruben Ramirm <br />