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AR <br /> SAN JOAQUIN COUNTY STORMWATER PROGRAM <br /> COMM]EROA]L INSPECTION REPORT <br /> INSPECTION# INSPECTION DATE EHD FACILITY ID: EHD PR# <br /> 3 3 o <br /> Facility Type: ❑ Food ❑ RGO !!! Jaz Waste I Materials ❑ Kennel ❑ Other i <br /> /I f <br /> + Facility Name: {,{'`?•( �rki 1� ''ft"Il'r 1 V -° I <br /> F <br /> Facility Site Address: <br /> Contact Person: f` . :[to r,'�1 �/ : (t { ,% Phone: 4 <br /> j <br /> Inspeetor(s): Last Inspection <br /> I-� : <br /> t �' Date <br /> BMP Checklist: <br /> Y N NIA Needs Correction Notes <br /> Administrative Evaluation Z <br /> Updated Site Drainage Map <br /> BMP Fact Sheet Provided <br /> No Illicit Connections Evident ✓' <br /> Site Discharge To the MS4 ✓ <br /> sr Indoor Inspection <br /> Floor Drains Plumbed To Sanitary <br /> Y Floor Drains Visually Inspected <br /> No Evidence of Significant Material Spills f ``# I :T Y` ✓1'�'�' fi _ <br /> ` Spill Clean-up Kits Available <br /> Production Liquid Storage Adequate r, <br /> Process Liquid Contained <br /> Waste Liquid Stora, e Adequate ✓ <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 <br /> Pavement Sweeping frequency Adequate r' <br /> Good General Housekeeping: Outdoor / <br /> Specific Areas of Concern f <br /> Vehicle Areas Clean �" ',,� :'ry I l ? 'fi' '`'r 1!'CG tf✓" <br /> Process Areas Clean <br /> Other: <br /> Other: <br /> Other: <br /> �;". '�'" <br /> QwnerlQ erator Signature_,-�^"' Date <br /> .�°.... �'" ! �` <br /> Inspector Signature Date�,�.-�;��"� <br /> For Questions regar in the son Joaquin County Stormwaler Program and/4)i Best Management Practice Information, <br /> call the 5tormwater/Management Division 1 Public Works Department at(204)468-3055. <br /> EHD 31 01 Storm water tnspec. <br /> 9/28/2004 <br />