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MCITY OF STORMWATER DIVISION <br /> STOCKTON <br /> ILLICIT DISCHARGE DETECTION&ELIMINATION(/DDE) <br /> IDDE Inspection Form 0.02 <br /> Date of Inspection: tZ z1 h Time of Inspection: Inspector's Name: iv'\ FdAd � „ , Grid ID: <br /> Weather Condition at Time of Inspection: 'S'.'einq <br /> Property Owner Info(Responsible Pa Complaint Source: <br /> Name of Business: uWirt- IE <br /> Contact Person: o vim. K <br /> Address” ILI I Z F1 Weio,I Dr- <br /> city: 5 n _State:_ Cift Zip: 95-Zps- Complaint address or location cross roads): <br /> Phone Number: r <br /> Email Address: ua ive. <br /> S�m%'4.?—4.? -e.-CAM <br /> Storm F3ralns: Score X1-5) 3 <br /> (Onsite Storm drains,Storm drain contents, Storm drain treatment maintenance documentation(private),Storm drain labeling) <br /> Inspection consisted of:Observing storm drains,contents of the storm drains,Onsite treatment devises and reviewing maintenance history of the <br /> treatment devise, if storm drains are cor ct la elgd. <br /> Inspector's Comments: Flvie C Pn cc. ;^�U,��{-t 6L%L; ,-k,p <br /> Waste Management: Score t'�w <br /> (Trash receptacles covered&plugged, Operational Trash,Personal Trash,Floatables,pet waste management,staining around trash receptacles,etc.) <br /> Inspection consisted of:Observing site trash,trash receptacles and surrounding area,and pet waste management, leaking or heavily damaged <br /> receptacles. <br /> Inspector's Comments: <br /> Fluid Management:; Score('.17-5) <br /> (Chemicals, On-site Fueling stations,Spills of any kind, Containers, Secondary confinement applications,spill kits) <br /> Inspection consisted of:Observing fueling station miss-management,area fluid containers; labeling practices and secondary confinement uses;any <br /> sheens on surface of waters,any foam or other visual signs of fluids other than storm waters are present. <br /> Inspector's Comments: <br /> lllrciti'Connect�ons: Score(1-5) j <br /> (Illicit Storm drain connections or discharges) ------- <br /> inspection consisted of:Observing for illicit connections to the Storm Sewer System. Illicit Discharges into the Storm Sewer System. Unusual smells <br /> around the area of concern. I J <br /> Insp gtor's Comments: t.� tJP {�t�1 r` <br /> a+�trto AE��Iufaj <br /> Inspector's Observation Notes, q <br /> Vt T??� e t/i 9 oh + <br /> { <br /> Yb L / s'{c-. 6/H!I {/ 7� Cts <br /> Follow U Action/Enforce ent: <br /> a O <br /> 7 {,1lj <br /> D <br /> ? a' '`'"N IEE "S 195 00 (if violation is found) INSPECTION RESULT: PASS AIL <br /> Signature of Facility Representative*: Name: (printed) l�cs hl-) Date: 7 1 <br /> `Note:Signature of facility representative do of attest to content of report,only that the inspection occurred) J <br /> The City of Stockton Inspector is required to photograph items/areas that would contribute to a violation of City Stormwater Code(Title 13). <br /> White:File copy Yellow: Finance copy Pink:Customer copy <br /> inspections Line Item Scores 3-5 result in a Failed Inspection and could result in a Notice of Warning,Notice of Violation,Cease and Desist,or a Stop Work Order <br /> All Line Items scoring a 3—5 result in photograph(s)being taken of the area of concern to document the potential violation <br /> City of Stockton I Stormwater Divison 12500 Navy Drive,Stockton,CA,95206 1209.937.8155 <br />