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FORWARD IANDFIILL <br />DAILY PRE -APPLICATION INSPEMON FORM <br />'Waste Discharge Requirements Order No. 115-2014-0006 <br />Weather conditions: <br />Temperature: <br />Wind dir6cdon: Wind speed-" <br />Other relevant field conditions: <br />Evidenceof erosion .................................................................................... P;1510 .............................. C3 Yes <br />Berm condition ........................................................................................... grGood ............... . ........ o Needs attention <br />SoilSaturation ............................................................................................... O'No .............................. 13 Yes <br />Ponding......................................................................................................... lwfio ............................... 0 yes <br />Potential runoff to off-site areas ............................................................ - <br />,p -No .............................. c3 Yes <br />Potential discharge to surface water ...................................................... P -NO .............................. 13 YM <br />Actual discharge to surface water ............................................. .............. . ........ 0 Yes <br />Accumulation of organic solids .............................................................. .............................. C3 yes <br />clogging.......................................... : ........................................................ R-:(140 ............................... 0 Yes <br />Odors that have the potential to be objectionable at or <br />beyondthe property boundary .................................................. .............................. C3 yes <br />Vectors (insects, rodents) ............................................... : ........................ J2"&O ................................ 0 yes <br />Documented observations requiring corrective -action and corrective action taken -(if applicable): <br />Note No valves are required as part of the land a,*hcafien operation. <br />Date/time , : 0JiU21q1 —(- (9 � Signature- Title: Operations Manigev <br />Ruben Ramirez <br />