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Form 3 Annual Comprehensive Facility Compliance Evaluation Form 3 – Page 4 of 9 Name of Industrial Area or Activity (as listed in the SWPPP) Are the minimum BMPs described in the SWPPP in place? (Yes / No) Are the advanced BMPs described in the SWPPP in place? (Yes / No) Are the existing BMPs effective? (Yes / No) Describe Corrective Action Needed Describe Corrective Action Taken including the date that it was implemented Section C – Inspection and Evaluation of Drainage Areas Having “No Exposure” to Industrial Activities Review the SWPPP and perform a facility inspection of areas of the facility identified in the SWPPP has not having industrial activities or materials: 1. Are there any areas at the facility that are excluded from sampling and observations because they do not contain industrial activities or industrial materials? (Yes or No; if “yes”, explain) 2. Are these “No Exposure” areas identified in the SWPPP and is there a NEC Checklist for each one? (Yes or No; if “no”, explain) 3. Based on the inspection, do these areas still qualify for “No Exposure”? (Yes or No; if “no”, explain)