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FORW DFn L <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements order No. R5-2414-0006 <br />Weather conditions: <br />Temperatuie; - . <br />Wind direction: J E. Wind speed: 4u,p <br />Other relevant field conditions: <br />Evidenceof erosion.............................................................. :...................... P-�,f4o.................---.......... o Yes <br />BeimLi condition.......................................................................................... p�Good ......................... ❑ Needs attention <br />Soilsaturati-osra................................................................................................ No............., ........ ❑ Yes <br />Ponding....................................................................................................... p'. 0.............................: ❑ Yes <br />Potential runoff to off-site areas..............................................................�No.............................. ❑ Yes <br />Potential discharge to surface water .... :................................................ p'No.............................. ❑ Yes <br />Actual discharge to surface water.......................................................... pNo.............................. ❑ Yes <br />Accumulation of organic solids.............................................................. ffl,'N'o .............................. ❑ Yes <br />clogging................................................................................................,P40.............................. ❑ Yes <br />Odors that have the potential to be objectionable at or <br />Vectors (insects, rodents)......................................................................p'j�lo ................................ ❑ Yes <br />Documented observations requiring corrective action and corrective action. taken (if applicable): <br />Note: No valves are required as part of the land * ilitaaioon operairon. <br />Date/'time: j�,JAC-1I @ 7 2 o signature: Z Tide: Opemtions Maniger <br />Ruben Ramirez <br />