Wastewater Stormwater Maintenance Log

• Today's Date

  Date

• Prepared by

• Location
  Address

Wastewater / Outfall 001

• Is the sampling point readily accessible?

  Yes

  No

  N/A

• Is the waterway clear and in good condition?

  Yes

  No

  N/A

• Is the area maintained? (i.e., vegetation cut, no debris, etc.)

  Yes

  No

  N/A

• Is the equipment in good condition? Secure (gate locked)?

  Yes

  No

  N/A

• Is the equipment operational?

  Yes

  No

  N/A

• Is there a visible sheen on the water?

  Yes

  No

  N/A

Stormwater / Outfall 002

• Is the sampling point readily accessible?

  Yes

  No

  N/A

• Is the waterway clear and in good condition?

  Yes

  No

  N/A

• Is the area maintained? (i.e., vegetation cut, no debris, etc.)

  Yes

  No

  N/A

• Is the equipment in good condition? Secure (gate locked)?

  Yes

  No

  N/A

• Is the equipment operational?

  Yes

  No

  N/A

• Is there a visible sheen on the water?

  Yes

  No

  N/A

• Is the water level high? (If yes, approximate level)

  Yes

  No

  N/A

Stormwater / Outfall 004

• Is the sampling point readily accessible?

  Yes

  No

  N/A

• Is the waterway clear and in good condition?

  Yes

  No

  N/A

• Is the area maintained? (i.e., vegetation cut, no debris, etc.)

  Yes

  No

  N/A

• Is the equipment in good condition? Secure (gate locked)?

  Yes

  No

  N/A

• Is the equipment operational?

  Yes

  No

  N/A

• Is there a visible sheen on the water?

  Yes

  No

  N/A

• Is the water level high? (If yes, approximate level)

  Yes

  No

  N/A

Stormwater / Outfall 007

• Is the sampling point readily accessible?

  Yes

  No

  N/A

• Is the waterway clear and in good condition?

  Yes

  No

  N/A

• Is the area maintained? (i.e., vegetation cut, no debris, etc.)

  Yes

  No

  N/A

• Is the equipment in good condition? Secure (gate locked)?

  Yes

  No

  N/A

• Is the equipment operational?

  Yes

  No

  N/A

• Is there a visible sheen on the water?

  Yes

  No

  N/A

• Is the water level high? (If yes, approximate level)

  Yes

  No

  N/A

Lagoon

• Is the area maintained? (i.e., vegetation cut, no debris, etc.)

  Yes

  No

  N/A

• Are the berms maintained?

  Yes

  No

  N/A

• Is the boom in place and in good condition?

  Yes

  No

  N/A

• Is there a visible sheen on the water?

  Yes

  No

  N/A

• Is the water level high? (If yes, approximate level)

  Yes

  No

  N/A

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• Completed by (Name and Signature)

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