Title Page
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Site conducted
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Facility
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Conducted on
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Inspector Name and Title
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Current weather condition
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Photos taken
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Location
Non-Storm Water Discharge (NSWD) Observations
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AUTHORIZED -
Fire Hydrant Flushing
Potable Water Source
Condensation (refrigeration, air conditioners, etc.)
Ground Water
Landscape Watering
UNAUTHORIZED*
Wash Water
Cooling Tower Water
Blowdown Water (compressors, boilers. etc.)
Leaks / Spills of Materials
All Other Types of Discharges -
Are there any unauthorized NSWDs occurring at any of the drainage outfall(s), or indications of prior unauthorized NSWDs?
Drainage
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Specify Drainage Ara
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Source of Discharge / Characteristics / Source of Pollutant(s) (if applicable)
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Are there any authorized NSWDs occurring at any of the drainage?
Drainage
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Specify Drainage Ara
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Source of Discharge / Characteristics / Source of Pollutant(s) (if applicable)
Observation Tips and Instructions
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CHARACTERISTICS
Clear
Discoiored
Turbid / Cloudy
Odorous (Smelly)
Oily Sheen
Floating Materials
• Observe the water and look for evidence of pollutants (oily sheen, odor, etc.)
• Document the source of the observed pollutant(s) (ex: If there is an oil sheen, you should be able to follow that sheen back to a particular source on the ground, such as an oil spot in a parking area)
• Write down the additional BMP(s) necessary to eliminate pollutant(s) from future discharges
Industrial Activities:
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Check all applicable
- Indoor Production
- Outdoor Production
- Production Areas
- Repair Shop
- Outdoor Work Area
- Wash Rack
- Hazardous Materials
- Fueling Area
- Indoor Storage
- Outdoor Storage
- Loading / Unloading
- Truck / Trailer Parking
- Dumpsters / Roll-Offs
- Facility Support Equipment
- Operational Equipment
MINIMUM BMP OBSERVATIONS
Good Housekeeping
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1. Are the observed outdoor areas associated with industrial activity free of pollutants at time of inspection?
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2. Is material tracking minimized or prevented effectively?
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3. Is dust generated from industrial materials or activities minimized?
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4. Are all facility areas impacted with rinse/wash waters cleaned promptly?
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5. Is all stored industrial material that can be readily mobilized with storm water covered?
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6. Are stored non-solid industrial materials or wastes properly contained from wind/rain?
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7. Is disposal of rinse/wash waters or other materials prevented from conveyance systems?
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8. Have SW discharges from non-industrial areas that contact industrial areas been minimized?
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9. Are non-industrial area authorized NSWDs minimized from contacting industrial areas?
Preventive Maintenance
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1. Have equipment & systems used outdoors that may spill/leak pollutants been identified?
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2. Have identified equipment, systems, or other conditions been observed to detect for leaks?
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3. Is the established schedule for maintenance appropriate?
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4. Are the prompt maintenance & repair procedures effectively preventing spills or leaks?
Spill and Leak Prevention and Response (SLPR)
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1. Are the procedures and/or controls to minimize spills & leaks established?
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2. Are spill/leak procedures preventing discharge to storm water convenience stem?
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3. Are there any response equipment or maintenance procedures identified or described?
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4. Are all response personnel identified & trained in spill/leak response?
Material Handling and Waste Management
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1. Is industrial material/wastes readily mobilized with storm water prevented/minimized?
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2. Are stored non-solid industrial materials or wastes properly contained from wind/rain?
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3. Are all industrial waste containers and material storage containers covered when not in use?
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4. Is run-on and storm water generated from the facility diverted from all stockpiled material?
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5. Are all spills of industrial materials/wastes cleaned in accordance with the SLPR procedures?
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6. Is outdoor material, waste handling equipment, & containers observed/cleaned as needed?
Erosion and Sediment Controls
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1. Are the implemented wind erosion controls effective?
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2. Are inactive areas, finished slopes & other erodible areas stabilized prior to rain events?
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3. Are perimeter controls & entrances/exits controlling erodible discharges & tracking off site?
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4. Is run-on and storm water generated from the facility diverted from all erodible material?
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5. Are sediment basins compliant to design storm standards of the Industrial General Permit?
ADVANCED BEST MANAGEMENT PRACTICES
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1. Exposure Minimization BMPs
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2. Storm Water Containment and Discharge Reduction BMPs
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3. Treatment Control BMPs
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4. Other Advanced BMPs
ADDITIONAL CORRECTIVE ACTIONS REQUIRED
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(Identify additional corrective actions not included with BMP deficiencies above. Identify BMPs that need more frequent inspections. Note if SWPPP changes will be required.)
Required Action
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Details
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Imp Date
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SWPPP Update
Exception Documentation
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Explanation required if inspection could nor be conducted
Sign Off
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