City of Bellflower Stormwater Program Industrial/Commercial Facility Inspection Report

• Facility:

• Address:
  Address

• Contact:

• Title:

• Email:

• Phone:

• Inspector:

• Date

  Date

• Inspection Type

  Select Routine Follow-Up Response to Complaint

  • Routine
  • Follow-Up
  • Response to Complaint

• BMP materials provided and explained

  Yes

  No

• SIC/NAICS code and/or business type

Industrial Facilities Only

• (1)Covered under IGP (WDID is current) or other NPDES Permit

  Yes

  No

• (2) NEC filed

  Yes

  No

• SWPPP on-site

  Yes

  No

• If (1) and (2) above are ''No," notified contact of need for IGP coverage and will refer facility to Regional Board

  Yes

  No

Checklist for Stormwater BMP (Best Management Practices) Compliance

Vehicle & Equipment Maintenance

• 1. Fueling- Effective fueling source control devices & practices

  Yes

  No

  N/A

• Add media

  Media

• 2. Cleaning- Effective cleaning practices & wash water management practices

  Yes

  No

  N/A

• Add media

  Media

• 3. Repair- Effective repair practices & source control devices

  Yes

  No

  N/A

• Add media

  Media

Equipment Operations

• 4. Outdoor Equipment Operations- Effective source control devices and practices

  Yes

  No

  N/A

• Add media

  Media

Storage and Handling

• 5. Outdoor liquids- Effective source controls & practices

  Yes

  No

  N/A

• Add media

  Media

• 6. Outdoor Raw Materials- Effective source control practices & structural devices

  Yes

  No

  N/A

• Add media

  Media

• 7. Solid Waste- Effective storage & handling practices & appropriate control measures

  Yes

  No

  N/A

• Add media

  Media

Facility Maintenance

• 8. Building & Grounds Maintenance- Effective maintenance practices

  Yes

  No

  N/A

• Add media

  Media

• 9. Parking & Storage Maintenance- Effective designs & housekeeping/ maintenance practices

  Yes

  No

  N/A

• Add media

  Media

• 10. Stormwater Conveyance System Maintenance- Proper operation & maintenance protocols

  Yes

  No

  N/A

• Add media

  Media

• 11. Sidewalk Washing- Remove debris & free standing oil/grease. Use high pressure/low volume spray washing with potable water, no cleaning agents & average rate of .006 gal/ft^2

  Yes

  No

  N/A

• Add media

  Media

Spills, Leaks & Discharges

• 12. Accidental Spills/Leaks- Effective spill/leak prevention & response procedures

  Yes

  No

  N/A

• Add media

  Media

• 13. Unauthorized Nonstormwater Discharges- Effective elimination

  Yes

  No

  N/A

• Add media

  Media

Comments and Corrective Actions (If Required). Include description of activities performed and/or principal products produced

• Enforcement:

  None Required

  Corrective Action Notice (complete section below)

  Other (see comments)

Corrective Action Notice (If Required)

If corrective actions have been noted above, then the responsible party(facility owner, occupant or person responsible) is in noncompliance with the City's Stormwater Quality Ordinance. The responsible party may be subject to enforcement actions under this ordinance if the corrective actions are not implemented by:

• Corrective Action Due Date

  Date

Acknowledgement of Receipt of Corrective Action Notice

• Site Representative Signature

  Sign

• Printed Name

• Date

  Date