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J. P• <br /> CAMSM <br /> u Hcy+ea+ <br /> ILLICIT DISCHARGE, DETECTION, AND ELIMINATION (IDDE)INSPECTION FORM <br /> SECTION 1: GENERAL INFORMATION <br /> Park Name Location OUA0j(aX <br /> Inspector's Name .� Inspector's Title <br /> Consultant Company <br /> (if applicable) <br /> Photos Taken? <br /> (check all 3 boxes uponUpon Detection During Elimination/Cleanup ❑ After Elimination <br /> completion) 9r A <br /> Date of Inspection 10/ 2 Date Inspection Report Written <br /> Inspection Type ❑ Routine YJ <br /> omplaint Driven <br /> (Check Applicable) � 1]-IF�S ��f �;jA <br /> �,Other I'I r i`ry /►ALJ Storm Event <br /> Weather <br /> (Check all that apply) ❑ Sunn y El Partly Sunny ❑ Partly Cloudy JSCloudy ❑ Rainy ❑ Wndy <br /> Storm Start Date&Time Aj f0 Storm Duration(hrs) <br /> Most Recent Storm <br /> Data Rain Gauge Reading Total Storm Rainfall <br /> (inches) (inches) <br /> Outfall Identification Number <br /> (Reference Outfall Maps) <br /> Outfall Location <br /> Receiving Waterbody <br /> SECTION 2: ILLICIT DISCHARGE DETECTION <br /> Active illicit discharge detected? 9yes❑ No Evidence of a past illicit discharge detected? ElYes F] No <br /> If either of the questions above are answered"Yes,"complete information below, otherwise skip to next Section <br /> Qualitative Observations(Check all that Apply) !!� � 1 C__ <br /> Odor ❑ None ❑ Sulfide ❑ Oil ❑ Gas ❑ Rancid 90ther Q, <br /> Calor ❑ None ❑ Yellow rown ❑ Green ❑ Red ❑ Other: <br /> Floatables one ❑ Foam ❑ Staining ❑ Sheen S L e El Other: <br /> Damage to Outfall � <br /> El rl'1 None Cracking Corrosion ❑ Peeling Paint Other: <br /> Turbidity ❑ C ear ❑ Cloudy ❑ Opaque ❑ Other: <br /> Vegetation Normal ❑ Excessive Growth ❑ Inhibited Growth ❑ Other: <br /> Quantitative Observations <br /> Estimated Flow Rate(cfs) A a� <br /> Estimated Discharge Volume (gal) <br />