Storm Water Pollution Prevention Plan Inspection - Moffett Park Bldg 6 & Garage B

• Jobsite SWPPP Inspection

• Audit Title:

• Document No.

• Conducted on

  Date

• Prepared by

• Personnel

General Information

• Project Name - Moffett Park Garage B & Bldg 6

• WDID # -

• Location - Sunnyvale ,Ca

• Inspector's Name Rick Seifert,Safety Director ,Qsp #0880

• Inspector's contact. Rseifert @level10gc.com ;9259805796cell

• Inspector's Qualifications: QSP Cert # 0880 ; Cewssi 1547

• Date of Inspection and Start Time

  Date

• Select the type of Inspection Post Storm ,Weekly

  Select Regular Pre-storm Event During Storm Event Post Storm Event Regular, Pre-storm Event Regular, During Storm Event Regular, Post Storm Event Quarterly

  • Regular
  • Pre-storm Event
  • During Storm Event
  • Post Storm Event
  • Regular, Pre-storm Event
  • Regular, During Storm Event
  • Regular, Post Storm Event
  • Quarterly

Weather Information Clear

• Has there been a storm event since the last inspection?<br>If yes please provide Storm event info below (next 3 fields)

  Yes

  No

  N/A

• Weather at time of inspection:clear

  Select Clear Cloudy Rain Sleet Fog Snowing High Winds Cloudy, Rain Cloudy, Rain, High Winds Clear, Rain Clear, Rain, High Winds

  • Clear
  • Cloudy
  • Rain
  • Sleet
  • Fog
  • Snowing
  • High Winds
  • Cloudy, Rain
  • Cloudy, Rain, High Winds
  • Clear, Rain
  • Clear, Rain, High Winds

• Attach photo of NOAAA/On Site Weather Station in this area

  Media

• Temperature (F)

• Have any discharges occured since the last inspection? If yes, describe.

  Yes

  No

• Are there any discharges at the time of inspection?<br>If yes, describe:

  Yes

  No

Sediment Control BMP's Implemented/Installed

• SE- 1 Silt Fence

  Yes, No MR

  Not Applicable

  Maint Required

• SE-3 Sediment Trap

  Yes, No MR

  Not Applicable

  Maint Required

• SE-4 Check Dam

  Yes, No MR

  Not Applicable

  Maint Required

• SE-5 Fiber Rolls

  Yes, No MR

  Not Applicable

  Maint Required

• SE-6 Gravel Bag Berm

  Yes, No MR

  Not Applicable

  Maint Required

• SE-7 Street Sweeping and Vacuuming

  Yes, No MR

  Not Applicable

  Maint Required

• SE-10 Storm Drain Inlet Protection

  Yes, No MR

  Not Applicable

  Maint Required

• SE-12 Temporary Silt Dike

  Yes, No MR

  Not Applicable

  Maint Required

• SE-13 Compost Socks and Berms

  Yes, No MR

  Not Applicable

  Maint Required

• SE-14 Biofilter Bags

  Yes, No MR

  Not Applicable

  Maint Required

• Notes

  Yes

  No

Traction and Wind Control BMP's Implemented/Installed

• TC-1 Stabilized Construction Entrance/Exit

  Yes, No MR

  Not Applicable

  Maint Required

• TC-2 Stabilized Construction Roadway

  Yes, No MR

  Not Applicable

  Maint Required

• TC-3 Entrance/Outlet Tire Wash

  Yes, No MR

  Not Applicable

  Maint Required

• WE-1 Wind Erosion Control

  Yes, No MR

  Not Applicable

  Maint Required

• Notes

  Yes

  No

Non-Storm Water and Materials Management Source Control BMP

• NS-1 Water Conservation Practices

  Yes, No MR

  Not Applicable

  Maint Required

• NS-2 Dewatering Operations

  Yes, No MR

  Not Applicable

  Maint Required

• NS-3 Paving and Grading Operations

  Yes, No MR

  Not Applicable

  Maint Required

• NS-7 Potable Water Irrigation

  Yes, No MR

  Not Applicable

  Maint Required

• NS-8 Vehicle and Equipment Cleaning

  Yes, No MR

  Not Applicable

  Maint Required

• NS-9 Vehicle and Equipment Fueling

  Yes, No MR

  Not Applicable

  Maint Required

• NS-10 Vehicle and Equipment Maintenance

  Yes, No MR

  Not Applicable

  Maint Required

• NS-12 Concrete Curing

  Yes, No MR

  Not Applicable

  Maint Required

• NS-13 Concrete Finishing

  Yes, No MR

  Not Applicable

  Maint Required

• NS-15 Demolition Adjacent to Water

  Yes, No MR

  Not Applicable

  Maint Required

• Notes

  Yes

  No

Waste Management and Materials Pollution Control BMP's

• WM-1 Material Delivery and Storage

  Yes, No MR

  Not Applicable

  Maint Required

• WM-2 Material Use

  Yes, No MR

  Not Applicable

  Maint Required

• WM-3 Stockpile Management

  Yes, No MR

  Not Applicable

  Maint Required

• WM-4 Spill Prevention and Control

  Yes, No MR

  Not Applicable

  Maint Required

• WM-5 Solid Waste Management

  Yes, No MR

  Not Applicable

  Maint Required

• WM-6 Hazardous Waste Management

  Yes, No MR

  Not Applicable

  Maint Required

• WM-7 Contaminated Soil Management

  Yes, No MR

  Not Applicable

  Maint Required

• WM-8 Concrete Waste Management

  Yes, No MR

  Not Applicable

  Maint Required

• WM-9 Sanitary/Septic Waste Management

  Yes, No MR

  Not Applicable

  Maint Required

• WM-10 Liquid Waste Management

  Yes, No MR

  Not Applicable

  Maint Required

• Notes

  Yes

  No

Overall Site Issues

• Are all BMP's shown on the site maps installed in the proper locations and according to details in the SWPPP?<br>

  Yes, No MR

  Not Applicable

  Maint Required

• Are all slopes and disturbed areas not actively being worked on properly stabilized?

  Yes, No MR

  Not Applicable

  Maint Required

• Are natural resource areas protected with barriers or dimilar BMP's?

  Yes, No MR

  Not Applicable

  Maint Required

• Are perimeter controls and sediment barriers adequately installed (keyed into substrate) and maintained?

  Yes, No MR

  Not Applicable

  Maint Required

• Are discharge points and receiving waters free of any sediment deposits?

  Yes, No MR

  Not Applicable

  Maint Required

• Are storm drain inlets properly protected?

  Yes, No MR

  Not Applicable

  Maint Required

• Is the construction exit preventing sediment from being tracked into the street?

  Yes, No MR

  Not Applicable

  Maint Required

• Is trash/litter from work area collected and placed in covered dumpsters?

  Yes, No MR

  Not Applicable

  Maint Required

• Are washout facilities (e.g. paint, stucco, concrete) available, clearly marked and maintained?

  Yes, No MR

  Not Applicable

  Maint Required

• Are vehicle and equipment fueling, cleaning, and mainteneance areas free of spills, leaks, or any other deleterious material?

  Yes, No MR

  Not Applicable

  Maint Required

• Are material that are potential stormwater contaminants stored inside or under cover?

  Yes, No MR

  Not Applicable

  Maint Required

• Are non-stormwater discharges (e.g. wash water, dewatering) properly controlled?

  Yes, No MR

  Not Applicable

  Maint Required

• SWPPP documentation and Wall Map up to date?

  Yes

  No

• Notes

  Yes

  No

Additional Notes, Photographs and Non-Compliance Issues

• Photographs

  Media

Certification Statement::

• "I certify under penalty of the 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 gather and evaluate 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."

• Add signature

  Sign