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SAN JOAQUIN COUNTY STORMWAT.ER PROGRAM <br /> (_'ONIMEROAL INSPECTION REPORT - <br /> INSPECTION# INSPECTION DATE - � EHD FACILITY ID: HID PR# <br /> �;;- 0-_1 <br /> Facility Type: ❑ Food ❑ RGO EHaz Waste 1 Materials ❑ Kennel ❑ Other <br /> =tVFacility Name: <br /> Facility Site Address: <br /> f ` h:.a,,�rr./�u�r� e2 ��.-- <br /> Contact Person: . zf Phone: - <br /> Inspector(s): Last Inspection <br /> (�� C.i' �,;�..i/ti �- Date <br /> t l <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 �/ � '� f' ` , ` ;� J. <br /> / <br /> Site Discharge To the MS4 <br /> Indoor Inspection <br /> Floor Drains Plumbed To Sanita ✓ I <br /> Floor Drains Visually Inspected <br /> No Evidence of Significant Material Spills <br /> Spill Clean-up Kits Available { .. <br /> Production Liquid Storage Adequate r <br /> Process Liquid Contained <br /> Waste Liquid Storage Adequate r <br /> Condensate Runoff Clean ✓ <br /> Good General Housekeeping: indoor <br /> Outdoor Inspection <br /> Site Does Not Wash Outdoor Areas <br /> Catch Basins Visually Inspected <br /> Raw Material Handling Adequate <br /> Waste Handling Adequate /61 <br /> Pavement Sweeping Frequency Adequate <br /> Good General Housekeeping: Outdoor <br /> Specific Areas of Concern , <br /> Vehicle Areas Clean <br /> Process Areas Clean <br /> Other: <br /> Other: <br /> Other- - <br /> Owner/Operator Signature r/ } '` .` Date <br /> {ns pector Si naturer Date (J <br /> For Questions regardinbffhe S n:Ioaquin'County Stormwater Program and/or Best Management Practice Informatioy, <br /> call the Stormwater, anage hent Division/Public Works Department at(209) 468-3055. <br /> EHD 31-01 4� Storm eater lnspec. <br /> 9/2 812 004 <br />