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Stormwater Discharge OutfaIl (SDO)
Qualitative Monitoring Report
Permit No.: &cjj &_kjgj O O D/ or Certificate of Coverage No.: NLCIQ/Sl.d /k /AJL1
Facility Name: '
County: Phone No.
Inspector
Date of Inspection' a aZ a
By this s4mg5i e,lpeffify that this report is
of Perrllittee or
complete to the best of my knowledge:
1. Outfail Description
Outfall No. !� Sh= (pipe, ditch, etc.) •��'�
Receiving Stream: 12 `rr e-,A or s
Describe the industrial activities that occur within the outfall drainage area:
2. Color ,
Describe the color of the discharge
dark) as descriptors:
3. Odor
Describe any distinct o
etc.)
4. Clarity
basic colors (red, brown, blue, etc.) and tint (light, medium,
the discharge may have (i.e., smeils strongly of Gil, weak chlorine odor,
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3 4 5 6 7 8 9 10
Page 1
SWU 242-MO705
4

S. Flom Solids
Choose the number' which best describes the atroam of floating solids in the stmmwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
012 3 4 5 6 7 9 9 10
s. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy.-
t 2 3 4 5 6 7 8 9 10
7. Foam
h there any foam in the stormwater discharge? Yes No
& Oil Shen
Is there an ail sheen in the stormwater disclnrp? Yes No
9. Depositim at Oath'U
Is there deposition of tnatearial (fit+ etc.) at or invuedistely below the outM? Yes Na
10. Erosion atOuttan
h there erosion at or inmrediately below the outlall? Yes No
11. Othw Obvians Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids. Mi°r the am of fooil sheen, deposition or erosion may be
indicative of conditions that wanes f adw investigation and corrective aWon.
Pape 2
SWU 242-020'7tlS a

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICj' j/4VVi�
Facility Name: n togg t,� •J
County: t{ J LLZ,
Inspector - A r* S S r- i(�
Date of inspection: - - I
By this
that thi!;Pport is a
ite of Coverage No.: N!C/G/n/dA/ /`2 /P
rie No o ^? �3G3 •- a^c t
and complete to the best of my knowledge:
4811-hature of Periffifte or Designee)
1. OutfaH Description
�60
Outfall No. _,?.• Sbucture (pipe, di h, etc.)
Receiving Stream: "
Describe the industrial activities the occur within the outfall drainage area:
2. Color
Describe the color of the dischargeysin basig color
dark) as descriptors: /�C �f`. -0
3. Odor
Describe any distinct
etc.)
brown, blue, etc.) and tint (light, medium,
i 1 7—
that the discharge may have (i.e., smells strongly of dil, weak chlorine odor,
Al � --
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3 4 5 6 7 8 9 10
Page 1
SWU-242-020705
4

S. Floating sorrels
Choose the number which best describes the amount of floating solids in the-stormwater discharge where
1 is no solids and 10 is the surface covered with Sig solids:
1 Z 3 4 5 6 7 8 9 10
y
6. Suspended solids
Choose the numbex which nest describes the amount of suspended solids m the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 2 3 4 5 6 7 8 9 10
7. Foam
is there any foam in the stormwater discharge? Yes D
8. On Sheen
is them an oil sheen in the stormwater discharge? Yes No
9. Deposition at Oatfag
Is there depositim of matexial (sediment, etc.) at or inunedliateiy below the ouM? Yes Igo
10. FA+asidat at Ot'rifall
is there erosion at or immediately below the ouW? Yesr No
11. Othw Obvias hNSCOWn of Std MWOt r YoDuti u
List and describe
Note: Low clarity, high solids, amNor the Fame of foam, oil sham deposition or erosion rmy be
indicedve of dsmdidcm that warmut fund er investigation and eve action.
Pape 2
SWU 2424=05

Stormwater Discharge OutfaIl (00)
Qualitative Monitoring Report
Permit No.: 23fg#1 449 4/ 0 V/ or Certificate of Coverage No.: N/99R 6►& X/VP
Facility Name: -Qj 1014VP7�-
County: hone No. ?29 •. 3
Inspector . &5 S a A r- : L -
Date of Inspection:
By this si certify that this report is and complete to the best of my knowledge:
future of xerminee or assignee)
1. Outfall Description
Outfall No. _ Structure (pd ditch, etc.) P •f F f'I `o +"`' G.�,�1 ['ram F �W �''4 • �/
Receiving stream: ["� • wj r^A w'd
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the
dark) as descriptors: —.
3. Odor
Describe any distinct
etc,)
using basic colors (red, brown, blue, etc.) and tint (light, medium,
r,A /'"
that the discharge may have (i.e., smells strongly of 6% weak chlorine odor,
4. Clarity
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
1 2 3 4 5 b 7 $ 9 10
Page 1
SWU 242-02CY705

S. Floating Solids
Choose the nurser which best describes the amo mt of floating solids in the st rmwater discharge where
1 is no solids and 10 is the surface +covered with flora solids:
1 2 3 4 5 6 7 9 9 10
6. Sospended Solids
Choose the number which best describes the amount of suspended. solids m the swrmwater discharge
where 1 is no solids and 10 is extremely nay:
3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater dischup? Yes (No)
)
L Onsheen
Is there an oil sheer► in the smnwate r discharge? Yes No
9. Deposition at O
Is throe deposition of maiteaisl is &Mmt, etc.) at or 'immediately below the out"? Y No
e
to. Eradon at mil
Is thane erasion at or immediately below the eu IM? Yes No
11. O►aw Obvim Indfcaaton of Starhnwater peuudon
List and describe
Nate: Low clarity, high solids. anchor the preseaoe of foam:, oil sheen, deposition or erosion may be
iodic 9tive of editions that wamaat fund= ink and eve action.
SWU 242.02aM j

S_
Stormwater Discharge OutfaU (SDO)
Qualitative Monitoring Report
Permit No.: N((�I .ljjJ�l0/ 0 4 bj or Certificate of Coverage No.: N199.S/ A/ / L4-/
Facility Name: O-e `
County: Phone No. gzo- L�t3�i r SL3
Inspector �s �.lOf t &r..;&f!'
Date of Inspection: _4 - of 2 — 2 z-%
By this t , I certify that#s repo is accurate and complete to the best of my knowledge:
of Permittee or
1. Outfall 'Pi ion
Outfal] No. S (pipe, ditch, etc.) �` f G % p��: .R/
Receiving Stream: r2i ; i% 4jr s Z'&
Describe the industrial activities that occur within the outfall drainage area:
2. Color ,
Describe the color of the discharge
dark) as descriptors:
3. Odor
Describe any distinct odors
etc.) Id
4. Clarity
basic colds (=4 brown, blue, etc.) and tint (light, medium,
� — i^" J 7 e _ // -I---
the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
Choose the nu nber which best describes the clarity of the discharge where 1 is cim and 10 is very
cloudy:
1 2 3 4 5 5 7 8 9 10
Page 1
5WU-242-MO705
.,

S. Fkwft Sands
Choose the number which best describes the amomtt of floa6W solids in the swmwuw discharge where
t is no solids and 10 is the surface covered with floating solids:
I 2 3 4 5 6 7 8 9 10
t% Saspended Solids
Choose the n mba which best describes the ataaant of mispended solids in the stormwater dischaage
where I is no solids and 10 is extremely muddy.
1 2 3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwaser dischap? Yes No
a. Ofl Sheen
Is die an pit sheen in the stortnwat e r dischaw? Yes No
9. Deposition at OWM
Is theme deposition of ingedd (sett, etc.) 81 or im wAaNdy below ft outfatt? Yes 10,Nfj
ILO. Famion at OR&atl
Is dme erosion at or immediately below the owf8ll? Yes No
11. Othetr Obvk= Irutimton of Starmweter Pollution
List and describe _ 1
Nate: Low, charity, high so►lids, awYer the pieew of foan% oil stern, dePositim or erosion mly be
indicative of Couftons bast waaant further mvesugation and corrective action.
page2
SWU 242-02M j

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
6
Permit No.: N/C k
Facility Name:
County: u DG
Inspector. =
Date of Inspection: _
By thire;'fcertify that
16A
or Certificate of Coverage No.:
Phone No.
is acgprate and complete to the best of my knowledge:
1. Outfall Description
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within tine outfall drainage area:
2. Color
Describe the color of the
dark) as descriptors: _
3. Odor
Describe any distinct odors
etc.) 40
basic
etc.) and tint (light, medium,
the discharge may have (i.e., smells strongly of ail, weak chlorine odor,
4. clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3 4 5 b 7 8 9 10
Page I
swu-aas-ozrrras
AA

S. Floating Solids '
Choose the numer which best describes the aanamt of floating solids in the-stormwater discharge where .
1 is no solids and 10 is fuse surface covered with floating solids:
1 63 4 5 6 7 8 9 10
6. Smpended Solids
Choose the nw d= which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely may:
1 2 3 4 5 6 'I 8 9 10
7. Faam
Is mere any foam in the stormwater discharge? Yes No
8. Oil Sbeen
Is there an oil sheen in the sMnwater discharge? Yes No
9. Dep niition at OWND
Is these � of mate W (sediaumt, etc.) attar immedhaely below the-ou fall? Yes .
10. F.rod= at CkdW
Is there erasion at or inmaedisvely below the ouM? Yes No
11. Other Obvkm Lndaatars Gi panution
List.and destxibc ` r
rZ
Note: Low ckray, high sands, anft r tlm am of foail six=, dq=tM or eraasion may be
eve of conditions that wanu t further investigation and corrective action.
Page 2
SWU 2424WM �

Stormwater Discharge Outfall (SDO)
{qualitative Monitoring Report
Permit No.: Nlg#l&k0/ P/ 4/ 0/ or Certificate of Coverage No.:
Facility Name: 1"
County: ' r►! Phone No. S?!a' jx—
inspector. '
Date of Inspection: __ 1. 12.
By this siaAtd� I PM* that this rWart is acepte and complete to the best of my knowledge:
1. Outfall Description
Outfall No. _ + Structure (pipe, ditch, etc.) _ , ,'Dd -�c /.� c �4i
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the
dark) as descriptors. —
3. Odor
Describe any distinct
etc.) .t
using b46jors (red brown, blue, etc.) and tint (light, medium,
that the discharge may have (i.e., smells strongly of dil, wean chlorine odor,
e_ 10
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3 4 5 6 7 8 9 10
Page 1
SWU-242-0=65 '}

S. Fkafing Soisds
Chow the number which best describes the amomtt of floating solids in the swnnwa w discharge where
1 is no solids and 10 is the surface covered with floating solids:
1 2 3 4 5 6 7 8 9 10
6. Suspended Sow
Choose the number which best describes the amwa of suspended solids in the siormwater> discharge
where 1 is no solids and 10 is extremely muddy:
1 2 3 4 5 6 7 8 9 10
7. Foam
Is theta any foam in the stormwater discharge? Yes No
9. Oil sheen
Is there an oil sheen in the sWrmwater discharge? Yes No
9. DepoMw at OGW
Is there dqpSition of material (sediment, etc.) at or immediately below the eutfall? Yes No
10 Erasion at OBW
is there ermion at Or inmrediawly below the outfall? Yes No
11. O#hor Ob k= L►elicOtm GiStormvvateIr Palludon
List and describe
Note: Low clarity, high solids. =/or the pua« = of foam, oil sheen, Mien or erosion ntay be
.indicative of conditions brat warrant further invesdgWcn aad eorrect ve action.
Page 2
SWU 242.02t M �

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NAG I �.i Di of o� ai or Certificate of Coverage No.: NLCQ/� Al2 V Ll
Facility Name: t1{ ..' tom/
County: t_: Phone No.
Inspector �¢ t r f ram, r
Date of inspection: — a x. --=3
By this s' 'fy that this reDert is accgoate and complete to the best of my knowledge:
(Signaha r6 of Aniduce. or Designee)
1. Outfall Description
[1 Outfall No. _ � � Structure (pipe, ditch, etc. A in 416J
Receiving Stream: 4ja'-Ar
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the dischxw. using
dark) as descriptors:
rs red, browrn, blue, etc.) and tint (light, medium,
3. Odor
Describe any distinct odors that #a discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.)
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
103 4 5 6 7 8 9 10
Page 1
SWU 2424=05

S. Floating Sods
ChoQsc the Bung= which best describes the amount of floating solids in the stormwaw discharge where
1 is no solids and 10 is the surface covered with floating solids:
1 D2 3 4 S fi 7 8 9 10
5. Saspended So"
{Choose the number which best describes the amount of suspended solids in the stonnwater discharge
when 1 is no Aids and 10 is extremely muddy:
l D2-
3 4 5 b 7 8 9 10
7. Foam
is there any foam is the starmwater discharge? Yes No
8. Ofl Sheen
Is these an oil sheen in the stormwater discharge? Yes ti..- 0
9. Depot at OutW
Is these depo sitiaet of mftrigl(sedineent, etc.) at or immediatly below flue outfall? Yes No
-
10. Erosion at OudSH
Is there erosion at ar inwwdimly below the outfall? Ye7&
11, Other Obvious ind#caturs of Stormwater Pollution
r 9st and dtscn'he[
Note: Low clarhy, high solids, andlor the paes w of foam, oil sheen+ deposition or erosion may be
indicative of cmiitions that warms t fisedm Mvestigaum and cxur mve action.
swU 2424)"70S
Page 2
a

C
Permit No.: N -Q/,j
Facility Name _
County:
Inspector �t
Date of Inspection:
By this v6g
�n%;
Stormwater Discharge Outbll (SDQ)
Qualitative Monitoring Report
O/ 0/ 0/ or Certificate of Coverage No.:
Phone No. A too
that this reaWn is arfurate and complete to the best of my knowledge:
(SUEOM a Of remtwe or uesignee)
1. Outfall Description
. f y
Qutfall No. ,� SEcucture (M
ditch, ) °
Receiving Stream: .�'af1 a
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the
dark) as descriptors: _
rs (red, brown, blue, etc.) and tint (light, nrediurn,
3. Odor
Describe any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak chlorine odor,
etc.)
4. Qarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
102 3 4 5 6 7 8 9 10
Page 1
SWU?A24MO5
4%

S. Floating Sa i&
C1ioQse the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
l 0 3 4 5 6 7 8 9 10
4. Suspended Solids
Choose the nwt*er which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 2 3 4 5 6 7 8 9 10
7. Foam
Is flm any foam in the stormwater discharge? Yes 0
9. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes t
9. DepoMon at Outf011
of matarial (Wfin .mt, etc.) at or imrreediat+ely below the out€ail? YesONo
Is there aq��e
10. Erosion at Otatfali
is there erosion at or immediately below the ou&U? Yes No
11. Other Obvious Inors of stermweler, Pollution
List -and describe
Note: Low cla M. high solids, and/or the p of foam, oil sheen, titian or eaosion may be
indicative of caWdhions that wammi fiathex investigation and conective action.
Page 2
SWU 242-02{i703 J�

I
Permit No.:
Facility Nai
County: —
Insl=tor .
Date of ins
6
t
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
or Certificate of Coverage No.: N1ClC��b1�1 /� 21,1
•..ljc /�! one No. c.o � S
_Ph
I certify `s is accurate and complete to the best of my knowledge:
f
ClI natum ot'Yermmee or vesigneej
1. Outfall Description
Outfall No. Structure (pipe, disc etc.) >er
Receiving S
Describe the industrial activities that occur within the outfall drainage area:
z Color
Describe the color of the using colors b wn, blue, etc.) and tint (light, medium,
dark) as descriptors:
I Odor
Describe any distinct odo that the discbarge may have (i.e., sm s- strongly of oil, weak chlorine odor,
etc.)
4. Clartty
Choose the number which best descn'bes the clarity of the dhmbarge where 1 is clear and 10 is very
cloudy:
1 2 3 4 5 6 7 8 9 10
Page 1
.. SWU242w=O

S. Fbating Solids
Ctogse the number which best describes the smaant of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
1 � 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes tt a amount of suspended solids in the swrmwater disctigge
where I is no solids and 10 is extremely muddy.
1 2 3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Ycs N
8. 011 Sheen
Is there an ail sly in the stormw iter discharge? Yea o
9. Deposition at OuW
etc. immediately below the outfall? YesONo
Is there won of nmteanal(srxlimeret, ) at or
to. ErWou atO tfail
Is there erosion at at immediately below the ou&U? Yes N
li. Ottw Obviate IredkstM of Starowater Pollution
Note: Low clarity, high solids. andlor the p mm of foam, oil sheen deposition or erosion MY be
bxiicaltive of commons that wamma find= investigation and corrective action.
Page 2
Ej
SWU 242-OWM

Permit No.: 1'
Facility Name:
County:
Inspector
Date of Inspecl
Stormwater Discharge 4uutfaIl (SDO)
Qualitative Monitoring Report
0/ g dJ 01 or Certificate of Coverage No.:
Phone No. e rz Iq
certify that t)b report3 accurate and complete to the best of my knowledge:
1 -
Signature of Fernuttee or liestgneel
1. Outten Description
Outfall No. 1 L� S ipe, 'tch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Descn'he the color of the 4
dark) as descriptors:
I. Odor
Describe any
etc.)
rs (real, brown, blue, etc.) and tint (light, medium,
that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
4. Qarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3 4 5 6 7 8 9 10
" `
Page .1
SWU 242-020705

S. bloating Solids
Choose the -number which best describes the smom of hosting solids in the �st°rmwater discharge where
I is no solids and 10 is the surface covered with floating solid
1 2 3 4 5 6 7 8 9 10
4. Suspended Se
Choose the number which nest describes the amauhht of suspended solids in the stonnwater discharge
wheem I is no sohl' and 10 is extxenely muddy. l
t U?-
3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwatcr discharge? Yes ('91�
& Olt Sheen
Is there an oil sheen in ft stormwater discharge? Yes No
9. Depodd= at Outfahhl
Is that clrposition of n>amrial (sediment, etc.) at or bmedistly WOW the +outfahl? Yes °
t
la liiroshon at Outfall
Is there erosion at or imm uhately below the ouW? Yes No
11. Odu r Obviotas %1dCatohrs of swmwatw Pauut ion
List and describe
NOW. Low clarity, high solids, odor the p MM of foam, oil sheen, deposition or erosion may be
indicative of <xmditions the wamma findw r in lion and cor:ec tIve action.
Page 2
swu 2a2r=05 Jk

J
Permit No.: N
Facility Name:
County:
Inspector, •
Date of Inspea
rf�
Stormwater Disscharge Outfall (SDO)
Qualitative Monitoring Report
bt or Certificate of Coverage No.:!_GG��dl�1
o� :.✓ Phone No. tVf o
mortify that thifAreport Vaccuraie and complete to the best of my knowledge:
�ture of Peimmiuce or Designee}
1. Outfuli Description t
Outfall No. _ Siracture (pipe, ditch, .�
Receiving Steam: ._ geA 6 � Z .4 fy R 0 .
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Dcsc U the color of the C
dark) as descriptors:
3: Odor
Describe any distinct
etc.)
that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
4. aarky
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
1 2 3 4 5 6 ? 8 9 10
Page I
SWU-2424 mos
rI

S. Floating Solids
chow the number which best describes ttbe amamt of floating solids in the -normwater discharge where
1 is no solids and 10 is the surface covered with floating soFecls:
1 0 3 4 5 6 7 8 9 10
6. Sderl Solids
Choose the number which best describes the amount of suspended solids m fhe stormwater discharge
where 1 is no solids and 10 is extremely muddy:
t 2 3 4 5 6 7 8 9 10
7. Foam
Is There any foam in the stormwat+er discharge? Yes No
8. Onsheen
Is there an oil shy in the stormwatear discharge? Yes No
9. Depositions at Outran
Is &= deposition of material (sediment, em.) at or immediately below the outf ll? Yes GO
10. Ernwon at OuthM
is there erosion at or immediately below the ou&U? Yes No
li. Other Obvious InciiCAM Ok Stm mwater PoUation
List and dwat c
Note: Low clarity, high solids, aadlor the pa+esence of fUM oil sheen, deposition or erosion may be
k6a due. of canditim that wanM fiud= investigation and corrective action.
Page
SWU 242-MOS �

Peamit No.: N
Facility Name:
County:
Inspector.
Date of Inspect
I
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
0/ 61 al or Certificate of Covemp No.: N1i _9Qfj
PG:.•f L�►' n�► Ems' +�
A Phone No.
0- ff I--�
and complete to the best of my knowledge:
1. Outfall Description
AW
Outfall No. Sbucwre (Pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the
dark) as descriptors:
sic colors (red, brown, blue, etc.) and tint (light, medium,
$. Odor
Describe any distinct odo that the discharge may have (i.e., sruells strongly of ail, weak chlorine odor,
etc.)
4. curtly
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
1 /J2 3 4 5 5 7 8 9 10
Page I
SWU 242-029M

S. Floating Solids
Choose the number which best descri"m the amount of floating solids in the -stormwater discharge where
I is no solid and 10 is the stuface covered with floating solids:
1 2 3 4 5 6 T 8 9 t0
ti. 5ttspend e+ 1 Solids
Choose the number which best descnbes the amount of suq=ded solids in the swrmwater discharge
where I is no solid and 10 is extremely muddy:
1 • 2 3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwat a discharge? Yes (30
B. Ofl Sheen
is there an oil sheen in tare stormwate r discbup? Yes o
9. Deposition at Outfafl
Is there ckposition of mamial (sediment, etc.) at ar immediately below the oud A? Yes No
10. Erosion at t>
Is there erosion at or immediately below the ou&U? Yes No
11. Other Obvkms bWIMjprs of Statmwar Pollution
Note-. Low clarity, high solids, and/or the pmeam of foam, oil sheen, depmdm► or erosion taay be
indicaatin of editions Bart warrant Wher imvestigetion and comaaive acdon.
Page 2
SSWU242.OWM .,

Permit No.: N A
Facility Name: --,
b1spector:
Date of inspection:
i
Mi
Stormwater Discharge Outfall (SDO) f
Qualitative Monitoring Report
D! or Certificate of Coverage No.: NIC_1G1�1 ICJ
• `y t
✓ ---� ___ Phone No. •
that this report is accurate and cornpk to to the best of my knowledge:
1. Oateall Des-=_�.._
Outfall No.
Receiving S
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the
dark) as descriptors: _
3. Odor
Describe any i
etc.)
using basic colors (red, brown, blue, etc.) and tint (light, medium,
that the discharge may have (i.e., smells strongly of Oil, weak chlorine odor,
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2/'* D3 4 5 6 7 8 9 10
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SWU-242-02M

S. Floafing SoPids
choose the anmber which best describes the amw at of floating solids in the-stowmwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
1 2 03 4 5 6 ? 8 9 IO
i
6. Suspended Soft
Choose the number which best describes the amount of suspended solids in the stormwater discharge
wirer 1 is no solids and 10 is exftmlY mutt:
1 2 ID3 4 5 6 7 8 9 10
7. Foam.
Is there any foam in the stormwater discharge? Yes No
8. Onsheen
Is there an oil sheen in the stormwater discharge? Yes 1 No
9. DepWtlen at OstfSR
Is there deposition of matt uW {sediment, etc.} at or i miediately below Ilse ouffA? Yes No
1o. Eros W at
Is dzm erosion at or immediately below the outfall? Yes No
11. Other ObvkM hAaftn of Starmwatcr PttIlation
List and describe G1 �4f
Note: Low clarity, high solids. andlor the pence of foam, oil sbem deposition or erosion may be
indicative of camdihons that waft m fiuttaer mvestigatton and eve ac Ilm
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SWU 242-020M ,