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FORWARD LANDFILL <br />DAILY PRE -APPLICATION INSPECTION FORM <br />Waste Discharge Requirements Order No. R5-2014-0006 <br />Weather conditions: 0 <br />Temperature:. <br />Wind direction: <br />Other relevant field conditions: <br />Evidence of erosion ............................................................................. I ......R;fqo .............................. 0 Yes <br />Soilsaturation .............................................................................................. fil'No .............................. Ci Yes <br />Ponding......................................................................................................... P"(40 ............................... C3 YM <br />Potential runoff to off-site areas ............................................................. ;rNo .............................. 0 Yes <br />Potential discharge to surface water.... <br />................. P"N"O .............................. 13 Yes <br />Actual discharge to surface water .......................................................... 0"No .............................. 0 Yes <br />Accumulation of organic solids ............................................................... 0"No .............................. Q Yes <br />clogging.......................................... : ................................... .................... w1fic, .............................. o Yes <br />Odors that have the potential to be objectionable at or <br />beyond the property boundary .................................................. Z( 0 .............................. 13 Yes <br />Vectors(insects, rodents) ................................................................. o ............................... E3 Yes <br />Documented observations requiring corrective action and corrective action taken (if applicable): <br />Note. No valtes are mquind as part of the land application operation. <br />0 as a <br />signatuxe,-J014 k*#AYO�— Title: Operation's M=igex <br />Ruben Ramirez <br />