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SAN JOAQUIN COUNTY STORMWATER PROGRAM <br /> - . C01IMEROAL INSPECTION REPORT <br /> INSPECTION# INSPECTION DATE EHD FACILITY ID: EHD PR# <br /> mow' J c„r <br /> Facility Type: ❑ Food ❑ RGO ❑ Haz Waste/ Materials ❑ Kennel ❑ Other <br /> Facility Name: <br /> Facility Site Address: , ' <br /> P i <br /> Contact Person: ti.I.f Phone: p,, <br /> Last inspection <br /> Inspector(s): Date 1 <br /> BMP Checklist: <br /> Y N NIA Needs Correction Notes <br /> Administrative Evaluation <br /> Updated Site Drainage Map <br /> BMP Fact Sheet Provided <br /> No Illicit Connections Evident <br /> Site Discharge To the MS4 I/ <br /> Indoor Inspection <br /> Floor Drains Plumbed To SanitaEy <br /> Floor Drains Visually Inspected <br /> No Evidence of Significant Material Spills v <br /> Spill Glean-up Kits Available <br /> V' <br /> Production Liquid Storage Adequate , <br /> Process Liquid Contained I <br /> Waste Liquid Stora e Adequate V <br /> Condensate Runoff Clean <br /> Good General Housekeeping: Indoor l.. <br /> Outdoor Inspection <br /> Site hoes Not Wash Outdoor Areas <br /> Catch Basins Visually Inspected <br /> Raw Material Handling Adequate r ) <br /> Waste Handling Adequate <br /> Pavement Sweeping Frequency Adequate f <br /> Good General Housekeeping: Outdoor <br /> Specific Areas of Concern <br /> Vehicle Areas Clean ✓r �' <br /> Process Areas Clean y <br /> Other: <br /> Other: <br /> Other: <br /> Ownerf0perator Signature Date <br /> L; <br /> Inspector Signature A% Date '17 - 67 <br /> For Questions regardin",t1 elSan Joaquin County Stornwaler Program and/or Best Management Practice Information, <br /> call the Storm-water Management Division/Public Works Department at(209)468-3055. <br /> l;Hl)3 t O1 Sturm water tnspu, <br /> 9/28!2004 <br />