HomeMy WebLinkAboutNCS000442_Rocky Mount Self Audit Field Notes_20210805Pollution Prevention / Good Housekeeping Inspection Form
General Evaluation Info
Facil-t Name:
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Date]Time:
Inspector Name:
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Facility. Address
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Weather Description:
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Facility/City Sta resent:
Good Housekeeping Categories (check all that apply):
Bulk Material Storage Vehicle Washing
NPDES Permitted Animal Waste
J,aeling 'chicle Maintenance
Waste Management
Other UC a , L
Other
Inspection Components I Comments
SWPPP or other Stormwater Plans
Is there an approved SWPPP or other stormwater plan on
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site?
Does the SWPPP include a site map, potential sources of
pollution, and control measures/ BMPs
Does the SWPP contain inspection and maintenance
procedures?
Does the SWPPP identify a pollution prevention team
(responsible for ensuring the plan is followed and
facilitating corrective action)?
!
Does the SWPPP contain a spill response plan?
Does the SWPPP identify employee training
requirements? May include RCRA, SPCC, or spill response
training. Have employees received this training?
Waste management
Are waste containers covered? Are waste remaining in gerbAw.PS w yre` lu w +�
containers?
Has waste been properly disposed?
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General Housekeeping
Are storm drains free of debris and properly labeled?
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Are materials stored away from high traffic areas?
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Page 11
Pollution Prevention / Good Housekeeping Inspection Form
Are any routine inspections performed for stormwater
Pollution prevention?
Are any checklists or records maintained for good
tO
housekeeping activities?
1C� v,
Are spill response procedures accessible and known?
Are spill response kits accessible and
maintained/stocked?
Any pesticide/herbicides/fertilizers used on site (i.e. for
landscaping efforts)?
Vehicle Maintenance, fueling, and washing
Are there designated areas for maintenance activities?
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Do these areas drain into the sanitary sewer? Are there
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spill kits available nearby?�f���'�
Are fueling stations designated and are the stations
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properly labeled? Are spill kits available nearby?
Are washing areas designated and are there BMPs to
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prevent pollution to the MS4?
Material storage
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Are bulk materials and chemicals covered or stored in
secondary containment?
Are bulk material containers labeled?
How are bulk materials transferred and handled?
Hazardous waste management
Are all hazardous materials properly labeled (in
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compliance with OSHA standards)?
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Are all hazardous materials stored in a way that is
protected from stormwater runoff?
Are spill kits available near the hazardous waste storage
area? -
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other general notes and observations:
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Page 12
Pollution Prevention / Good Housekeeping Inspection Form
General Evaluation info
Fac
r'I' Name:
r j 4-z -�n
Date/Time: `, n
Facility Address: � l�c�
IJ
Weather Description:
Inspector Name: Facility/City Staff Present:
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Good Housekeeping Categories (check all that apply):
Bulk Material Storage ly6icle Washing
NPDES Permitted Animal Waste
,,Keling Vehicle Maintenance
SWPPP or other Stormwater Plans
Is there an approved SWPPP or other stormwater plan on
site?
Does the SWPPP include a site map, potential sources of
pollution, and control measures/ BMPs
Does the SWPP contain inspection and maintenance
procedures?
Does the SWPPP identify a pollution prevention team {
(responsible for ensuring the plan is followed and
facilitating corrective action)?
Does the SWPPP contain a spill response plan?
Does the SWPPP identify employee training
requirements? May include RCRA, SPCC, or spill response
training. Have employees received this training?
Waste management _
Are waste containers covered? Are waste remaining in
containers?
Has waste been properly disposed?
General Housekeeping
Comments
Waste Management
Other
Other
d cad rod o6e ry Pl
Are storm drains free of debris and properly labeled?
Are materials stored away from high traffic areas?
�P
Page 1
Pollution Prevention / Good Housekeeping Inspection Form
Are any routine inspections performed for stormwater
Pollution prevention?
Are any checklists or records maintained for good YAZ�
housekeeping activities?
Are spill response procedures accessible and known?
Are spill response kits accessible and e 5
maintained/stocked?
Any pesticide/herbicides/fertilizers used on site (i.e. for
landscaping efforts)?
Vehicle Maintenance, fueling, and washing
Are there designated areas for maintenance activities?
Do these areas drain into the sanitary sewer? Are there
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spill kits available nearby?
Are fueling stations designated and are the stations
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properly labeled? Are spill kits available nearby?
Are washing areas designated and are there BMPs to
prevent pollution to the MS4?
Material storage
Are bulk materials and chemicals covered or stored in
secondary containment?
Are bulk material containers labeled?
How are bulk materials transferred and handled?
Hazardous waste management
Are all hazardous materials properly labeled (in
compliance with OSHA standards)?
Are all hazardous materials stored in a way that is
protected from stormwater runoff?
Are spill kits available near the hazardous waste storage
area?
Other general notes and observations:
Page 12
Pollution Prevention / Good Housekeeping Inspection Form
General Evaluation info
Facility NaFacility Address: +
[ I, mqL ant µ.' eN 1.0a ok 0 —
N. C4V4 S-f,-
Date/Time: Weather Description: G i[-0- /5—,4
Inspector Name: Facility/City Staff Present:
IG�,.,
Good Housekeeping Categories (check all that apply):
Bulk Material Storage Vehicle Washing
NPDES Permitted : -Arftal Waste
Fueling Vehicle Maintenance
---Haste Management A-mS► N
Other
Other
In action Components Comments
SWPPP or other 5tormwater Plans
Is there an approved SWPPP or other stormwater plan on
site?
Does the SWPPP include a site map, potential sources of
pollution, and control measures/ BMPs
Does the SWPP contain inspection and maintenance
procedures?
Does the SWPPP identify a pollution prevention team
(responsible for ensuring the plan is followed and
facilitating corrective action)?
Does the SWPPP contain a spill response plan?
Does the SWPPP identify employee training
requirements? May include RCRA, SPCC, or spill response
training. Have employees received this training?
Waste management
Are waste containers covered? Are waste remaining in
containers?
Has waste been properly disposed?
General Housekeeping
Are storm drains free of debris and properly labeled?
Are materials stored away from high traffic areas?
Page I 1
Pollution Prevention / Good Housekeeping Inspection form
Are any routine inspections performed for stormwater
Pollution prevention?
_ +,
Are any checklists or records maintained for good
,
housekeeping activities?
Are spill response procedures accessible and known?
ND
Are spill response kits accessible and
I
maintained/stocked?
Any pesticide/herbicides/fertilizers used on site (i.e. for
j 0
landscaping efforts)? _
Vehicle Maintenance, fueling, and washing
Are there designated areas for maintenance activities?
Do these areas drain into the sanitary sewer? Are there
spill kits available nearby?
Are fueling stations designated and are the stations
properly labeled? Are spill kits available nearby?
Are washing areas designated and are there BMPs to
prevent pollution to the MS4?
Material storage
Are bulk materials and chemicals covered or stored in
secondary containment?
_
Are bulk material containers labeled?
How are bulk materials transferred and handled?
Hazardous waste management
Are all hazardous materials properly labeled (in
compliance with OSHA standards)?
Are all hazardous materials stored in a way that is
protected from stormwater runoff?
_
Are spill kits available near the hazardous waste storage
area?
Other general notes and observations:
Al ih n-Y— d rC4 f r
Page 12
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Pollution Prevention / Good Housekeeping Inspection Form
General Evaluation Info
Facility Name:
Facility Address: A (mow
Date/Time: Z� 0 0 lz)� 1 Weather Description:
Inspector Name: Facility/City Staff Present:
C)
6 od Housekeeping Categories (chec all that apply): t*.Tor
ulk Material Storage iL i / � �' � ) lehicle Washin ,kk
.,WADES Permitted it"4f � Animal Waste
ling Vehicle Maintenance
Inspection Components
SWPPP or other Stormwater Plans
Is there an approved SWPPP or other stormwater plan on
site?
Does the SWPPP include a site map, potential sources of
pollution, and control measures/ BMPs
Does the SWPP contain inspection and maintenance
procedures?
Does the SWPPP identify a pollution prevention team
(responsible for ensuring the plan is followed and
facilitating corrective action)?
Does the SWPPP contain a spill response plan?
Does the SWPPP identify employee training
requirements? May include RCRA, SPCC, or spill response
training. Have employees received this training?
Waste management
Are waste containers covered? Are waste remaining in
containers?
Has waste been properly disposed?
General Housekeeping
Comments
Are storm drains free of debris and properly labeled? I Y- r- -5
Are materials stored away from high traffic areas?
Page 11
Waste Management
Other
Other
Pollution Prevention / Good Housekeeping Inspection Form
Are any routine inspections performed for stormwater
Pollution prevention?
Are any checklists or records maintained for good
housekeeping activities?
t
� S
Are spill response procedures accessible and known?
Are spill response kits accessible and��
maintained/stocked?
Any pesticide/herbicides/fertilizers used on site (i.e. for
landscaping efforts)?
Vehicle Maintenance, fueling, and washing
Are there designated areas for maintenance activities?
Do these areas drain into the sanitary sewer? Are there
LSl U
spill kits available nearby?
Are fueling stations designated and are the stations
properly labeled? Are spill kits available nearby?
Are washing areas designated and are there BMPs to
N�
prevent pollution to the MS4? _
Material storage
Are bulk materials and chemicals covered or stored in
V s
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secondary containment?
I
Are bulk material containers labeled?
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How are bulk materials transferred and handled?
UT kr�%r�(
Hazardous waste management
Are all hazardous materials properly labeled (in
compliance with OSHA standards)?
Are all hazardous materials stored in a way that is
protected from stormwater runoff? _
Are spill kits available near the hazardous waste storage
area?
Other general notes and observations:
Page 12
Pollution Prevention / Good Housekeeping Inspection Form
General Evaluation info
Facility;�avi vr,SG/V7�s Facility Address:
Date/Tim
Inspector Name:
Y9
K'K-
8 ', : cu A-�--
Weather Description:
Facility/City Staff Present:
CI wLe w�'n
Good Housekeeping Categories (check all that apply):
hulk Material Storage VcA t�/�.,0 iicle Washing
NPDES Permitted d{p,gei �` Animal Waste
Fueling ,[ISicle Maintenance
Ir' {e
Inspection Components Comments
SWPPP or other Stormwater Plans
Is there an approved SWPPP or other stormwater plan on
site? 1
Does the SWPPP include a site map, potential sources of
pollution, and control measures/ BMPs
Does the SWPP contain inspection and maintenance
procedures?
Does the SWPPP identify a pollution prevention team
(responsible for ensuring the plan is followed and
facilitating corrective action)?
Does the SWPPP contain a spill response plan?
Does the SWPPP identify employee training
requirements? May include RCRA, SPCC, or spill response
training. Have employees received this training?
Waste management _
Are waste containers covered? Are waste remaining in
containers?
Has waste been properly disposed?
General Housekeeping
Are storm drains free of debris and properly labeled?
Are materials stored away from high traffic areas?
Page 11
,'Waste Management
Other Y�-16i'r,t 4 G•--,
Other Y,I. al C_�
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Pollution Prevention / Good Housekeeping
inspection Form
Are any routine inspections performed for stormwater
SPOIr' �� ,(M� 4—�jf�� c [,U�ij Oi b
Pollution prevention? J�
Are any checklists or records maintained for good
housekeeping activities?
Are spill response procedures accessible and known?
(I � 4
dU
f,/V h.0rtAr�(-AI �{ c� Sn
Are spill response kits accessible and
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maintained/stocked?
Any pesticide/herbicides/fertilizers used on site (i.e. for
w1
CS '
landscaping efforts)?
c ✓+'a
Vehicle Maintenance, fueling, and washing
Are there designated areas for maintenance activities?
,/� r U c-46 L 1
Do these areas drain into the sanitary sewer? Are there
Vj�k
spill kits available nearby?
w�
Are fueling stations designated and are the stations
p-D
properly labeled? Are spill kits available nearby?
Are washing areas designated and are there BMPs to
prevent pollution to the M54?
Material storage _
Are bulk materials and chemicals covered or stored in
secondary containment?
Are bulk material containers labeled?
How are bulk materials transferred and handled? Ik4rA X 61 S# �
Hazardous waste management
Are all hazardous materials properly labeled (in
compliance with OSHA standards)?
Are all hazardous materials stored in a way that is
protected from stormwater runoff?
Are spill kits available near the hazardous waste storage
area?
Other general notes and observations:
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Page 12
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