Slug/Spill Control Plan Review

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Industrial User:

• Document Revision/Date:

  Date

• Date Received:

  Date

• Reviewer:

  Select Karl Hartman Lindsay France Elizabeth Hatton Andra Ahrens Alex Christensen Tracey Bryson

  • Karl Hartman
  • Lindsay France
  • Elizabeth Hatton
  • Andra Ahrens
  • Alex Christensen
  • Tracey Bryson

• Date of Review:

  Date

• Purpose of review:

  Initial Review

  Annual Review

• Has Slug/Spill Discharge Control Plan Submittal Approval letter been sent by the City?

  Yes

  No

• Date when approval letter was sent:

  Date

• Is the Approval Letter filed in the IU's binder?

  Yes

  No

• Final Result of Review:

  Adequate

  Additional Information Desired

  Revision Required

• Linko updated with result of review?

  Yes

  No

Plan Review

• Description of discharge practices (routine and non-routine, including batch discharges)

  Satisfactory

  Revisions Required

  Additional Information Required

  Not Applicable

• Please describe the required revision:

• Please describe the required additional information.

• Description of stored chemicals

  Satisfactory

  Revisions Required

  Additional Information Required

  Not Applicable

• Please describe the required revision:

• Please describe the required additional information.

• Procedures for immediately notifying City of slug discharges (including any discharge that would violate a prohibition stated in the Salt Lake City Wastewater Control Ordinance).

  Satisfactory

  Revisions Required

  Additional Information Required

  Not Applicable

• Please describe the required revision:

• Please describe the required additional information.

• Notification provisions include each of the following: location of discharge, type of waste, concentration, volume, corrective actions.

  Satisfactory

  Revisions Required

  Additional Information Required

  Not Applicable

• Please describe the required revision:

• Please describe the required additional information.

• Procedures for follow-up written notification within five days.

  Satisfactory

  Revisions Required

  Additional Information Required

  Not Applicable

• Please describe the required revision:

• Please describe the required additional information.

• Procedures to prevent adverse impact from accidental spills.

  Satisfactory

  Revisions Required

  Additional Information Required

  Not Applicable

• Please describe the required revision:

• Please describe the required additional information.

• Procedures for inspection and maintenance of storage areas

  Satisfactory

  Revisions Required

  Additional Information Required

  Not Applicable

• Please describe the required revision:

• Please describe the required additional information.

• Procedures for handling and transfer of materials

  Satisfactory

  Revisions Required

  Additional Information Required

  Not Applicable

• Please describe the required revision:

• Please describe the required additional information.

• Procedures for loading and unloading operations

  Satisfactory

  Revisions Required

  Additional Information Required

  Not Applicable

• Please describe the required revision:

• Please describe the required additional information.

• Procedures for Control of toxic organic pollutants (including solvents)

  Satisfactory

  Revisions Required

  Additional Information Required

  Not Applicable

• Please describe the required revision:

• Please describe the required additional information.

• Description of equipment for emergency response

  Satisfactory

  Revisions Required

  Additional Information Required

  Not Applicable

• Please describe the required revision:

• Please describe the required additional information.

• Provisions to permanently post on user's bulletin board or other prominent place notice advising employees who to call in the event of a dangerous discharge

  Satisfactory

  Revisions Required

  Additional Information Required

  Not Applicable

• Please describe the required revision:

• Please describe the required additional information.

• Certification statement signed by duly authorized representative

  Satisfactory

  Revisions Required

  Additional Information Required

  Not Applicable

• Please describe the required revision:

• Please describe the required additional information.

• Additional comments:

• Corrected actions required:

• Due date for corrective actions:

  Date