Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Spill Prevention and Response
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Have any previously identified discharges of pollutants occurred since the last inspection that have not been addressed.
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Are there any discharges occurring at the time of inspection?
Areas of Industrial Materials or Activities Exposed to Storm Water
Material Loading/Unloading and Storage Areas
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Controls adequate (appropriate, effective, and operating)?
Equipment Operations and Maintenance Areas
Vehicle/Equipment Maintenance
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Are vehicle and equipment fueling, cleaning, and maintenance areas free of spills, leaks, or other deleterious material?
Vehicle/Equipment Storage
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Are potential hazards being removed from wrecked vehicles prior to be parked in vehicle maintenance area ( i.e. Battery, antifreeze, fuel, motor oil, brake fluid, Freon, etc.)?
Other Controls
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Are other controls adequate (appropriate, effective, and operating)?
Waste Handling and Disposal Areas
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Are storage areas clean and free of debris?
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Are other controls adequate (appropriate, effective, and operating)?
Erodible Areas/Construction
Roadway Maintenance and Cleaning
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Are roadways being properly maintained and cleaned ( i.e. No signs of pressure washing near stormwater drains)?
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Are other controls adequate (appropriate, effective, and operating)?
Non-Storm water Illicit Discharges
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Were any non-storm water illicit connections or discharges observed?
Dust Generation and Vehicle Track-out
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Controls adequate (appropriate, effective, and operating)?
Structural Control Measures
Signs and Labels
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Controls adequate (appropriate, effective, and operating)?
Safety Posts and Fences
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Controls adequate (appropriate, effective, and operating)?
Temporary and Permanent Coverings
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Controls adequate (appropriate, effective, and operating)?
Curbing
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Controls adequate (appropriate, effective, and operating)?
Paving
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Controls adequate (appropriate, effective, and operating)?
Drip Pans
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Controls adequate (appropriate, effective, and operating)?
Secondary Containments
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Controls adequate (appropriate, effective, and operating)?
Detention and Retention Ponds
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Controls adequate (appropriate, effective, and operating)?
Oil/Water Separators
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Controls adequate (appropriate, effective, and operating)?
Other Structural Controls
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Controls adequate (appropriate, effective, and operating)?
Storm Water Conveyances
Holding Pad #8 Trench Drains
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Controls adequate (appropriate, effective, and operating)?
AOF-01 / North Retention Basin Outfall
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Controls adequate (appropriate, effective, and operating)?
AOF-02 / North Runway Outfall
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Controls adequate (appropriate, effective, and operating)?
AIF-01 / Las Vegas Boulevard Infall
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Controls adequate (appropriate, effective, and operating)?
AIF-02 / Gillespie Infall
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Controls adequate (appropriate, effective, and operating)?
AIF-03 / Bermuda Infall
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Controls adequate (appropriate, effective, and operating)?
AIF-04 / Grier Drive Infall
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Controls adequate (appropriate, effective, and operating)?
AIF-05 / Paradise Road Infall
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Controls adequate (appropriate, effective, and operating)?
AIF-06 / South Channel Airport Connector Infall
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Controls adequate (appropriate, effective, and operating)?
AOF-03 / Southside Basin Outfall
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Controls adequate (appropriate, effective, and operating)?
AOF-04 / East Blast Wall Outfall
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Controls adequate (appropriate, effective, and operating)?
AOF-05 / Patrick Outfall
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Controls adequate (appropriate, effective, and operating)?
AOF-06 / Cargo Trench Drains Outfall
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Controls adequate (appropriate, effective, and operating)?
AOF-07 / Air Cargo North Street Outfall
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Controls adequate (appropriate, effective, and operating)?
AOF-08 / Gus Giuffre Outfall
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Controls adequate (appropriate, effective, and operating)?
Other BMP
Stormwater Pollution Prevention Education (training)
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Are employees and tenants provided annual SWPPP training?
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Are signs posted in appropriate areas for additional training measures (i.e. Posters, stickers, etc.)
Non-Compliance
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Describe any incidents of non-compliance observed and not described above
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Certification Statement "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.