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Inspection Date: <br />INSPECTED AREAS <br />List all areas where <br />pollutants may come In <br />contact with storm water <br />(i.e. exposed <br />loadinglunloading, access. <br />storage, manufacturing or <br />process activities occur, <br />maintenance aclivlllss, etc). <br />Maintenance & <br />Repair Buildi, <br />Wash Rack <br />Facility <br />Vehicle & <br />Equipment <br />Storage Area <br />Inspector's <br />Signature:_ <br />For each area, are the <br />BMPs listed In the <br />SWPPP In place? <br />YES NO <br />X <br />X <br />X <br />FORM 1 - ANNUAL SITE INSPECTION FORM <br />Are additional BMPs <br />needed to control <br />storm water pollution? DESCRIBE DEFICIENCIES AND CORRECTIVE ACTIONS <br />YES NO <br />X <br />I3 <br />CTL is presently evaluating the construction <br />of a storm water retention basin. In <br />addition, CTL is evaluating the need to <br />X asphalt grave] areas of the facility. <br />Title: <br />Date: <br />9 <br />