COMMERCIAL SWPPP INSPECTION

• Conducted on

  Date

• PERSONNEL / INSPECTOR

  Select ANTHONY GARCIA ERIC CASTREJON GREG ARCHULETA CHRIS ARAGON MATHEW HENDRIX

  • ANTHONY GARCIA
  • ERIC CASTREJON
  • GREG ARCHULETA
  • CHRIS ARAGON
  • MATHEW HENDRIX

• BUISNESS / PLAZA CENTER

• ADDRESS:
  Address

Business Information

• RESPONSIABLE REPRESENTATIVE(s)

• Phone Number of Business Contact / PROPERTY MANAGEMENT(s)

• Email Address of Business Contact / PROPERTY MANAGEMENT(s)

• Type of Business

  Select Food Retail Automotive Sales and Repair Fuel Station Food: Grocery Store In Home Services Other Mix use

  • Food
  • Retail
  • Automotive Sales and Repair
  • Fuel Station
  • Food: Grocery Store
  • In Home Services
  • Other
  • Mix use

• REGULATION #8 QUESTIONS

  Select *Does this facility accept and process metal-seperating,shearing, sorting,shredding, for sale or use. *Purchases 5 or more salvage vehicals in any 12 month period- for salvage,recycle,crush or part out Facility drain fluids from vehicals in order to crush, dismantle,recycle or part out Scale onsite Facility have a NMVTIS number *Facility crush vehicals/ crusher bond Vehicals onsite over 180 days

  • *Does this facility accept and process metal-seperating,shearing, sorting,shredding, for sale or use.
  • *Purchases 5 or more salvage vehicals in any 12 month period- for salvage,recycle,crush or part out
  • Facility drain fluids from vehicals in order to crush, dismantle,recycle or part out
  • Scale onsite
  • Facility have a NMVTIS number
  • *Facility crush vehicals/ crusher bond
  • Vehicals onsite over 180 days

• Does this facility require a permit to operate under Regulation #8

  Yes

  No

  N/A

• INSPECTION COMNMENTS:

• INSPECTION PHOTOS:

  Media

• INSPECTION PHOTOS:

  Media

• Does the commercial property have the potential to discharge pollutants into the Storm Water Conveyance System?

  Yes

  No

  N/A

• Does the business have a plan to contain either storm water or accidental discharges?

  Yes

  No

• CORRECTIVE ACTION(S):

• COMMENTS:

• PHOTOS:

  Media

• I certify under penalty of 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 properly gathered
  and evaluated 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.

• INSPECTOR:

  Sign

• BUISNESS CONTACT/ RESPONSIBLE PARTY:

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