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SAN JOAQUIN COUNTY STORMWATER PROGRAM <br />COMMERCIAL INSPECTION REPORT <br />INSPECTION # <br />Y N WA <br />INSPECTION DATE <br />r �y <br />EHD FACILITY ID: <br />EHD PR # <br />Facility Type: ❑ <br />Food ❑ RGO <br />Haz Waste / Materials ❑ Kennel ❑ Other <br />Facility Name: <br />j1 �Ira"f' <br />la, IIS r,; <br />Facility Site Address: <br />t' % '►Q <br />Contact Person: <br />v° a <br />y�� S (C Phone: <br />Inspector(s): <br />>?!5,- ro ` LDaatelnspection <br />RNIP Checklist. <br />1 <br />Owner/Operator Signa ure <br />Insoector Sionature /j 'XV <br />. —'f <br />1 10 �/i f'iv �Cr't � �,� �/v- > I�►'.v� i'• `, r�:,it <br />! �1 6 <br />.)v -ks r"'> <br />Date <br />For Questions regaEdinu the San Joaquin Cotitity Stormwater Program and/or Best Management Practice Information, <br />call the Stormwater Management Division / Public Works Department at (209) 468-3055. <br />L:HD 3 1 -01 <br />9/28/2004 <br />Storm Water Inspec. <br />Y N WA <br />Needs Correction <br />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 <br />Indoor Inspection <br />Floor Drains Plumbed To Sanitary <br />Floor Drains Visually Inspected <br />No Evidence of Significant Material Spills <br />Spill Clean-up Kits Available <br />Production Liquid Storage Adequate <br />Process Liquid Contained <br />Waste Liquid Storage Adequate <br />Condensate Runoff Clean <br />Good General Housekeeping: Indoor <br />Outdoor Inspection <br />Site Does Not Wash Outdoor Areas <br />Catch BasinsVisuall Inspected <br />Raw Material Handling Adequate <br />Waste Handling Adequate <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 Signa ure <br />Insoector Sionature /j 'XV <br />. —'f <br />1 10 �/i f'iv �Cr't � �,� �/v- > I�►'.v� i'• `, r�:,it <br />! �1 6 <br />.)v -ks r"'> <br />Date <br />For Questions regaEdinu the San Joaquin Cotitity Stormwater Program and/or Best Management Practice Information, <br />call the Stormwater Management Division / Public Works Department at (209) 468-3055. <br />L:HD 3 1 -01 <br />9/28/2004 <br />Storm Water Inspec. <br />