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® Attachment 3—Disposal Site Monitor Checklist <br /> DEBRIS DISPOSAL SITE MONITORING CHECKLIST <br /> Date: Arrival Time: Departure Time: <br /> Weather Conditions: <br /> Disposal Site Location: <br /> (Street Address or nearest intersection) <br /> GPS Location: N W <br /> Disposal Site Monitor's Name: <br /> (Print Name) <br /> Other Monitor's Name: <br /> (Print Name) <br /> (Signature) <br /> Disposal Site <br /> 1. Is the Disposal Monitor filling out the Load Ticket properly? YES NO <br /> If NO, explain actions taken: <br /> 2. Is the Disposal Monitor attaching a copy of the Weight Ticket to the Load Ticket? YES NO <br /> 410 <br /> If NO, explain actions taken: <br /> 3. Are the Contractor's trucks loaded to capaCity? YES NO <br /> If NO, explain actions taken: <br /> 4. Identify Contractor's truck numbers observed while on site: <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 5. Were photographs taken at the loading site? YES NO <br /> If YES, list photo log numbers: : : : • <br /> General Notes and Comments (Include observations of operations at the landfill.) <br /> • (Use reverse side if necessary.) <br /> Disaster Program & Operations, Inc. Request for Proposals Disaster Debris Monitoring No. 18-04-03 75 <br />