ARTIC Storm-Water Construction Site Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Information

• Project Name - Anaheim Regional Transportation Intermodal Center (ARTIC)

• WDID # - No WDID #

• Location - Anaheim, CA

• Inspector's Name and Title: Jason Gilles - Safety Manager

• Inspector's Contact Information: Jason.Gilles@clarkconstruction.com - Cell: (714)448-3595

• Inspector's Qualifications: QSP # 23411

• Date of Inspection and Start Time

  Date

• Describe present phase of construction and site conditions and additional information

• Type of Inspection

  Select Regular Pre-storm Event During Storm Event Post Storm Event Regular, Pre-storm Event Regular, During Storm Event Regular, Post Storm Event

  • Regular
  • Pre-storm Event
  • During Storm Event
  • Post Storm Event
  • Regular, Pre-storm Event
  • Regular, During Storm Event
  • Regular, Post Storm Event

Weather Information

• Has there been a storm event since the last inspection?<br>If yes please provide Storm event info below (next 3 fields)

  Yes

  No

  N/A

• Storm Start Date and Time

  Date

• Storm Duration (hrs):

• Approx. Amount of Precipitation

• Weather at time of inspection:

  Select Clear Cloudy Rain Sleet Fog Snowing High Winds Cloudy, Rain Cloudy, Rain, High Winds Clear, Rain Clear, Rain, High Winds

  • Clear
  • Cloudy
  • Rain
  • Sleet
  • Fog
  • Snowing
  • High Winds
  • Cloudy, Rain
  • Cloudy, Rain, High Winds
  • Clear, Rain
  • Clear, Rain, High Winds

• Temperature (F)

• Other Weather Information:

• Have any discharges occurred since the last inspection? <br>If yes, describe or comment:

  Yes

  No

  N/A

• Are there any discharges at the time of inspection?<br>If yes, describe:

  Yes

  No

  N/A

Site-Specific BMP's

Wind Screen

• BMP Installed?

  Yes

  No

  N/A

• BMP Maintenance Required?

  Yes

  No

  N/A

Construction Entrances

• BMP Installed?

  Yes

  No

  N/A

• BMP Maintenance Required?

  Yes

  No

  N/A

Fiber Rolls

• BMP Installed?

  Yes

  No

  N/A

• BMP Maintenance Required?

  Yes

  No

  N/A

Gravel Bags

• BMP Installed?

  Yes

  No

  N/A

• BMP Maintenance Required?

  Yes

  No

  N/A

Portable Toilets

• BMP Installed?

  Yes

  No

  N/A

• BMP Maintenance Required?

  Yes

  No

  N/A

Materials Yard

• BMP Installed?

  Yes

  No

  N/A

• BMP Maintenance Required?

  Yes

  No

  N/A

Stockpile BMP's

• BMP Installed?

  Yes

  No

  N/A

• BMP Maintenance Required?

  Yes

  No

  N/A

Overall Site Issues

Are all slopes and disturbed areas not actively being worked properly stabilized?

• Implemented?

  Yes

  No

  N/A

• Maintenance Required?

  Yes

  No

  N/A

Are natural resource areas (e.g., streams, wetlands, mature trees, etc.) protected with barriers or similar BMP's?

• Implemented?

  Yes

  No

  N/A

• Maintenance Required?

  Yes

  No

  N/A

Are perimeter controls and sediment barriers adequately installed (keyed into substrate) and maintained?

• Implemented?

  Yes

  No

  N/A

• Maintenance Required?

  Yes

  No

  N/A

Are discharge points and receiving waters free of any sediment deposits?

• Implemented?

  Yes

  No

  N/A

• Maintenance Required?

  Yes

  No

  N/A

Are storm drain and inlets properly protected? (On and off site drains)

• Implemented?

  Yes

  No

  N/A

• Maintenance Required?

  Yes

  No

  N/A

Is/Are the construction exits preventing sediment from being tracked into the street?

• Implemented?

  Yes

  No

  N/A

• Maintenance Required?

  Yes

  No

  N/A

Is trash/litter from work areas collected and placed in covered dumpsters?

• Implemented?

  Yes

  No

  N/A

• Maintenance Required?

  Yes

  No

  N/A

Are washout facilities (e.g., paint, stucco, concrete) available, clearly marked, and maintained?

• Implemented?

  Yes

  No

  N/A

• Maintenance Required?

  Yes

  No

  N/A

Are vehicle and equipment fueling, cleaning, and maintenance areas free of spills, leaks, or any other deleterious materials?

• Implemented?

  Yes

  No

  N/A

• Maintenance Required?

  Yes

  No

  N/A

Are construction materials that are potential stormwater contaminants stored inside or under cover?

• Implemented?

  Yes

  No

  N/A

• Maintenance Required?

  Yes

  No

  N/A

Are non-stormwater discharges (e.g., wash water, dewatering) properly controlled?

• Implemented?

  Yes

  No

  N/A

• Maintenance Required?

  Yes

  No

  N/A

Surplus BMP's?

• Implemented?

  Yes

  No

  N/A

• Maintenance Required?

  Yes

  No

  N/A

SWPPP documentation and Wall Map up to date?

• Implemented?

  Yes

  No

  N/A

• Maintenance Required?

  Yes

  No

  N/A

Certification Statement

• "I certify under penalty of the law that this document and all attachments were prepared under my direction/ or supervision in accordance with a system designed to assure that qualified personnel gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations."

  Sign