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FORWARDLANDFILL <br />DAILY PRE-A-PPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. 115-2014-0006 <br />'Weather c onditions: <br />Tempemtare: <br />Wind dir6ction: <br />Other raevant field conditions: <br />Mind speed. <br />Evidenceof erosion .................................................................................... P' o......................•....... 0 Yes <br />Bermcondition ........................................................................................... 91"Good ......................... o Needs attention <br />Soil saturation ...................................................... <br />Ponding......................................................................................................... p -f -To.............................. 0 Yes <br />Potential runoff to off-site areas ............................................................. <br />,,Q,NO .............................. E3 Yes <br />Potentialdischarge to surface water .................................. ................... pl�,O .............................. E3 Yes <br />Actual discharge to surface water ........................................... .............................. 13 Yes <br />Accumulation of organic solids ............................................................... ZINO .............................. 0 Yes <br />clogging............................................................ ................. .................... P&O..................,.... . E3 yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary ............................................................... )ZiN0 .............................. C3 Yes <br />Vectors (insects, rodents) ........................................................................fil"N" 0........ .................. 13 Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note: No valves are required arparf of the land afifibcafion operation. <br />Signatur Title: Opemitions M=24 <br />Rubea Ramixez I <br />