FGA Group Leader Inspection Report

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

I. RECORDS - Verify the following:

• 1. Non-Storm Water Discharge Visual Observation

  Yes

  No

  N/A

• 2. Storm Water Discharge Visual Observations completed once per month from October - May

  Yes

  No

  N/A

• 3. Annual Comprehensive Site Compliance Evaluation completed

  Yes

  No

  N/A

• 4. Annual Report completed

  Yes

  No

  N/A

• 5. Storm Water Sampling and Sampling Event Report Form (or Chain of Custody) completed

  Yes

  No

  N/A

• 6. Employee Training log complete and up-to-date

  Yes

  No

  N/A

II. Visual Inspection - Verify the following:

• 1. Overall facility is clean and well-maintained

  Yes

  No

  N/A

• 2. Vehicle wash area is clean and well-maintained; significant materials are properly stored to minimize contact with storm water; wash runoff does not contact storm water and is properly discharged or disposed of

  Yes

  No

  N/A

• 3. Vehicle fueling area is clean and well-maintained; significant materials are properly stored to minimize contact with storm water

  Yes

  No

  N/A

• 4. Vehicle maintenance area is clean and well-maintained; significant materials are properly stored to minimize contact with storm water

  Yes

  No

  N/A

• 5. Vehicle parking area is clean and well-maintained; there is no evidence of significant drippage or surficial staining

  Yes

  No

  N/A

• 6. Aboveground storage tanks are properly labeled and maintained; there is no evidence in the tank storage area of leakage or overfill

  Yes

  No

  N/A

• 7. Underground storage tanks are properly maintained; there is no evidence in the tank storage area of leakage or overfill

  Yes

  No

  N/A

• 8. Drum storage area is clean and well-maintained; there is no evidence of spills or leakage

  Yes

  No

  N/A

• 9. Trash dumpster area is clean and well-maintained; trash dumpsters are covered or storm water is otherwise prevented from contacting contents of dumpster

  Yes

  No

  N/A

• 10. Authorized non-storm water discharges do not introduce significant materials to storm water runoff

  Yes

  No

  N/A

III. SWPPP and Monitoring Program - Verify the following:

• 1. Facility SWPPP accurately reflects current site and operating conditions

  Yes

  No

  N/A

• 2. Monitoring Program accurately reflects current storm water discharge areas and sampling locations

  Yes

  No

  N/A

IV. Best Management Practices - Verify the following

• 1. BMP's are properly implemented

  Yes

  No

  N/A

• 2. BMP's effectively minimize potential pollution to storm water

  Yes

  No

  N/A

Pollution Prevention Team Corrective Action Plan and Comments

• Describe actions needed for any significant findings:

  Media