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• <br /> tie,eise. <br /> SECTION 3: INVESTIGATION AND ELIMINATION <br /> Source of Discharge: ❑ Sewage Dump Station ❑ Campground ❑ Bathroom <br /> (Check all that apply) ❑ Waste Disposal Bin ❑ Homeless Encampment ❑ Concessionaires <br /> ❑ Maintenance Yard ❑ Illegal waste Dumping(location): <br /> Other: ❑ Other: <br /> Is discharge an o(continue to next section) <br /> immediate threat to ❑ Yes(sanitary sewage, petroleum products,or harmful chemicals) <br /> human or IF YES,IMMEDIATELY CONTACT LOCAL HEALTH DEPARTMENT <br /> environmental health? <br /> 0Q-7A-I - <br /> Measures taken to stop �'vL£J V A-',— <br /> illicit discharge: ( f' �F <br /> (Document with photos) <br /> Measures taken to y u r3-7 !2!�p 1 C-) -kA <br /> mitigate impacts caused <br /> by illicit discharge: <br /> (Document with photos) <br /> Measures taken to '41,t �"J 4r--.2 S <br /> prevent future illicit <br /> discharges: <br /> Date Corrective Measure Identified =aterective Measure Implemented <br /> Investigation completed ❑ Yes <br /> within 72 hours of ❑ No (document actions): <br /> detection? <br /> (if"No",document actions <br /> being taken to eliminate <br /> discharge) <br /> Additional Notes: <br /> Sign the following certification: <br /> 1 certify that this inspection form is true, accurate, and complete, to the best of my knowledge and belief." <br /> Signature <br />