CADG STORMWATER COMPLIANCE GROUP (SCG) WEEKLY FACILITY INSPECTION REPORT

Facility: WDID:

Inspector's Name: Title:

Month/Year: Note: This is a Multi-Page Report Form – Complete All Questions REQUIR BMP ED COM BM PLIA P NCE If each STA BMP is TUS not fully FOR in place WEE at your K site each END week, ING indicate For “No” in reporting the “In purposes Place” , your column workwee DESCRIPTION OF BMP DEFICIENCY and k ends Describe the discrepancy and corrective action taken, or to be taken, to correct deficiency. indicate each in the Friday. “C/A Due In the Date” spaces column below, the date indicate that the week Correctiv ending e Action date (C/A) will (Month/D be ay/Year) complete for each d. If the Friday of BMP is the fully in month. place, indicate

Page 1 of 8 “YES” in the “In Place-No C/A” column. Refer to your In C/A In In C/A In Place-No In Place- C/A Due WMG C/A Due Date Place- Due Place- Place- Due C/A No C/A Date SMP No C/A Date No C/A No C/A Date Manual for detailed BMPs descripti ons. 1. Hazardo us Material s and Wastes Stored Inside & Underco ver On Pad W/Seco ndary Contain ment. 2. Waste Drums Labeled, Clean, Dry & Free Of Residues , Debris. 3. Waste Storage Area Clean, Dry & Free Of Spills, Debris.

Page 2 of 8 4. Incomin g Vehicles Inspecte d For Leaks Upon Arrival, Prior To Staging In Holding Areas. 5. Draining Activitie s Takes Place Only On Covered and/or Bermed Pad. 6. Dismantl ing Activitie s Take Place On Covered and/or Bermed Pad. (Sheet Metal Parts May Be Remove d In Yard).

Page 3 of 8 7. Operatio nal Activitie s Take Place Only In Designat ed Areas Per Site Map. 8. Fluids Are Drained Within 30 Days Of Receipt And Prior To Storage. 9. Fluid- Bearing & Oily Parts Are Stored Underco ver & Off The Ground to prevent contact w/storm water.

Page 4 of 8 Facility: WDID:

DESCRIPTION OF BMP COMPLIANCE STATUS BMP REQUIRED DEFICIENCY BMP C/A In In Place- C/A Due In Place- C/A Due In Place-No C/A Due C/A Due Date Place- No C/A Date No C/A Date Date No C/A 10. Vehicles And All Parts Are Stored Off The Ground to prevent contact w/storm water. 11. Vehicles Are Stored With Hoods, Doors, Trunks Closed to prevent contact w/storm water. 12. Stored Vehicles Frames/ Bodies Are Not Stacked On Each Other.

Page 5 of 8 13. Vehicles & Parts Stored Only In Designat ed Areas. 14. All Discharg e Location s Are Clean And Free Of All Accumul ated Trash, Debris. Staining and Residues . 15. Sedimen t Control BMPs (Fiber Rolls, Filter Bags, Inserts) Installed & Maintai ned At All Discharg e Location s/Drain Inlets.

Page 6 of 8 16. There Is No Non- Stormw ater Discharg e At The Site. There is no wash downs of vehicles, equipme nt, facility grounds, parking areas, shop floors, or outside work pads unless the wash down runoff waters can be capture d /diverte d away from storm drains, storm water ditches, gutters, creeks and/or adjacent grounds Page 7 of 8 17. Operati onal Areas & Storage Areas Are Cleaned At The End Of Each Shift. 18. Spill Clean- Up Supplies Are Kept At The Draining & Dismant ling Pad, Waste Storage Areas & Parts Storage Areas. 19. Spills Are Cleaned Up Immedia tely Upon Discover y.

Page 8 of 8 20. Paved Work & Storage Areas & Parking Areas Are Swept At Least Once A Week. 21. Site Is Orderly And Organiz ed, Vehicles Stored In Rows.

Page 9 of 8 Facility: WDID:

DESCRIPTION OF BMP COMPLIANCE STATUS BMP REQUIRED DEFICIENCY BMP C/A In In Place- C/A Due In Place- C/A Due In Place-No C/A Due C/A Due Date Place- No C/A Date No C/A Date Date No C/A 22. Site Is Kept Clean, Debris & Trash Is Kept Picked- Up. 23. BMPs Are Posted In All Work & Storage Areas For employe e training and review. 24. All Employe es Trained In BMPs w/in last 12 months. 25. Site Inspecte d Daily & Reporte d Weekly.

Page 10 of 8 26. Site Has Designat ed Inspecti on Team trained in SWPPP and BMPs in last 12 months. 27. There Is No Area Where Soil Erosion Is Taking Place. All exposed soils stabilize d. 28. Stormwater holding ponds/basins & drainage swales meet all the following conditions:

Page 11 of 8 A. Only stormwat er is discharge d to pond/sw ale. No non- stormwat er (no wash waters, process waters, chemical wastes, spill residues) are discharge d (unless otherwis e permitte d).

Page 12 of 8 B. No erosion (no bare or exposed dirt/soils) along interior and exterior slopes, top of bank. Areas stabilized with vegetatio n, riprap/ro ck or paving). C. There is no trash, debris in pond/sw ale along perimete r or w/in drainage area. D. If there is standing water in the pond/sw ale the water is clear and clean; there is no oily sheen or film on water surface. Page 13 of 8 E. There is no evidence of oil staining along pond/ interior slopes, top of slope, or at pond inlet or at pond discharge point. F. Oil and sediment treatmen t control BMPs are install at pond/sw ale inlet and discharge points.

Page 14 of 8 ECMS STORMWATER COMPLIANCE GROUP: MONTHLY WET CONDITION OBSERVATION REPORT

Facility: WDID: Inspector's Name: Title: Month/Year: CADG WMG Did It Rain During Normal Business Hours during the month? Do not complete the remainder of this report if it did not rain during normal business 1. NO SCG Member:STOP: hours. Did the rain event produce an offsite discharge that started within one (1) hour of 2. YES GO: normal business hours and/or during normal business hours? 2a. NO STOP: Do not complete the remainder of this report.  Complete Section 1 of TABLE B: NO DISCHARGE INSPECTION LOG for each day that it rained but no offsite stormwater discharge occurred.  Complete Section 2 of TABLE B: NO DISCHARGE INSPECTION LOG for each day that the stormwater discharge starts before and/or after business hours. 2b. YES GO: Complete the remainder of this report. Date of T Observation: i m e O f f s i t e D i s c h a r g e S t a Page 15 of 8 r t e d :

DISCHARGE POINT (D/P) LOCATIONS Describe Corrective Action To Eliminate Pollutant Observations Pollutant C l e a D/P Location Time Film or n Description Observed Color or Floating Rainbow Odor & Cloudy Material Sheen C l e a r

Page 16 of 8 ECMS STORMWATER COMPLIANCE GROUP: MONTHLY NON-STORMWATER DISCHARGE (NSD) OBSERVATION REPORT (“Dry Observation” Report) Facility: WDID:

Inspector's Name: Title:

Month/Year:

Observation Descriptions If -No- Check Date Time Observation the Obs Obs Location Is Location Dry & Clean Conditions Describe Source and Condition of Discharge and erv erv Description Which Management Practices in Place to Control the Non- ed ed Apply Stormwater Discharge or Offsite Run-On Unapproved Yes / No Approved NSD Offsite Source NSD

Comments:

Page 17 of 8 ECMS STORMWATER COMPLIANCE GROUP: MONTHLY RAIN ACTIVITY REPORT Facilit WDI y: D: Inspector's Name: Title:

Month/Year: TABLE A: DAILY RAIN ACTIVITY LOG 

Offsite Offsite Did it Rain1 Did it Rain 1 Discharge2 Discharge2 Dates Dates Yes No Yes No Yes No Yes No

1 17

2 18

3 19

4 20

5 21

6 22

7 23

8 24

9 25

10 26

11 27

12 28

13 29

14 30

15 31

16

Notes: 1. Did it rain during normal business hours? 2. Did stormwater start to discharge offsite during normal business hours?

TABLE B: DISCHARGE INSPECTION LOG

Complete Section 1 of Table B: If it rained but there was no offsite discharge during normal business hours; and/or Complete Section 2 of Table B: If it rained and the offsite discharge started before or after normal business hours.

Page 18 of 8 ECMS STORMWATER COMPLIANCE GROUP: TABLE B: DISCHARGE INSPECTION LOG

Facility: WDID# Instructions: Complete Table B: No Discharge Inspection Log: Fill out Section 1 of this log for days of the reporting month that it rained during normal business hours but did not result in any offsite discharge of stormwater or surface drainage during normal business hours. Inspect all discharge locations at your site and verify that no offsite discharge of stormwater occurred during the rain event.; and/or Fill out Section 2 out this log for days of the reporting month that it rained, but the stormwater discharge DID NOT START during normal business hours. For those days that it rained and the offsite stormwater discharge started during normal business complete the Weekly Wet Observation Report. Times may be approximate. Use “BBH” for before business hours. Use “ABH” for after business hours. Section 1: Rain But No Offsite Discharge During Business Hours Log

Date of Rain Event Date of Inspection Time of Inspection Inspector Name Inspector Title

Section 2: Rain But Offsite Discharge Was Before or After Business Hours Log

Time Rain Date Discharge Date Rain Started Time Discharge Started Inspector Name Inspector Title Started Started

Page 19 of 8 Continuation Sheet: Facility:

Section 1: Rain But No Offsite Discharge During Business Hours Log

Date of Rain Event Date of Inspection Time of Inspection Inspector Name Inspector Title

Section 2: Rain But Offsite Discharge Was Before or After Business Hours Log Time Rain Date Discharge Date Rain Started Time Discharge Started Inspector Name Inspector Title Started Started

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