NCG110062_MONITORING INFO_20160726

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
i V i d
DOC TYPE
❑ HISTORICAL FILE
X MONITORING REPORTS
DOC DATE
❑ a a I L. J)r7 at.,
YYYYMMDD

•
A RECEIVED
JUL 26 2016
CENTRAL FILES
Stormwater Discharge Outfall (SD4) DWR SECTION
Qualitative Monitoring Report
Permit No.: N/C_I 1 I hl�l 1 1
Facility Name: —7' /1 y�-
County: L�l
Inspector: f i
Date of Inspection: —2
Time of Inspection: = { 2
or Certificate of CoveraN_/C/GI' I� I0l0_I 61_
2di5�n ge N W /0
Phone No.
Total Event Precipitation (inches): /
Was this a Representative Storm Event? (See information below) ❑ Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and
Cis preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches h�
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signaturdof Permittee or
1. Outfall Description:
Outfall No.
Receiving Stream:
eI 'be the industrial activ' i
Structure pipe, ditch, etc.)
at occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: f 1�z 0 �--
•�k
-41
l-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): 41") !'t -P�
Page 1 of 2
S WU-242-05130&

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear ,
and 5 is very cloudy:
0- 2 3 4 5 t
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where l isis�n�o solids and 5 is extremely muddy:
( 1� 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S WU-242-051308

Y
d. ST Tr[
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N/C/ 1 I 1 I / I I Certificate of Coverage No.: N/ G/ 111l0,6 4 If -
Facility Name, j c(/rL � cIns6✓,_
County: n Phone No.
Inspector:
' aS
Date of Inspection: 6
Time of Inspection: ^r' 10
Total Event Precipitation (inches): _ �p
Was this a Representative Storm Event? (See information below) 'Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary). r
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of Permitter or Desi&nee)
1. Outfall Description: -
Outfall No. Structure (pi c,ditch, etc.) � f
Receiving Stream: / �t �" UW
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the
(light, medium, dark) as descriptors:
basic colors (red, brown, blue, etc-) and tint
M
3. 1. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): 16 / & �4
Pagel of 2
5WU-242-051308

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: 9
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
�D %
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
2 3 4 5
7. is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes o
10. Other Obvious Indicators of Stormwater Pollution:
List and describe s
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S WU-242-051308

r
. d � STATE
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
1 .� e-t f 4
Permit No.:
Facility Name:
County:
lnspector
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) Z Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must he performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of PermikeTor Designee)
1. Outfall Description:
Outfall No. `�_ Structure (pie ditch, etc.)
Receiving Stream:
=ee d�_activities that occur within the outfal] drainage area:
2. Color: Describe the color of
(light, medium, dark) as descriptors: _
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): hJa A 0
Page 1 of 2
S WU-242-051308

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
G. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge?
8. Is there an oil sheen in the stormwater discharge?
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Yes
Yes
Yes 491�
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-051308

S.
R EIVED
Stormwater Discharge Outfall (SD �01 2015
Qualitative Monitoring Report
CENTRAL FILES
DWR S�C�It�f _ q�
Permit No.: N/CI_, l _ l l I I / or Certificate of Coverage No.: IGI / 0/ 0l �l A
Facility Name: a4,,n,
County:A S'fDH _Phone No. 9 `�
Inspector: `
Date of Inspection: �--
Time of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vaiy).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded -by at least 72 hours-(3-days) in'which-no storm event'- measurin-g'greater than 0.1 iriches has'
occii re . Asing a storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signaiure of I itfee or Designee)
1. Outfall Desc 'ption:
Outfall No. Structure (p'pe, ditch, etc.)
Receiving Stream: 14 a -it h
Djscribe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of t,hdischarge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: /Y4r2Q1.
3. Odor: Descri c any distinct odors that the discharge may have (i.e.,. smells strongly of oil, weak
chlorine odor, etc.): 1110A "-9r
Page.1 oft
SWU-242-05I308

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4' S
5. Floating Solids: Choose the numbef which best describes the amount of floating solids in the
stormwater discharge, where. I is.no solids and 5 is the surface covered with floating solids:
2 3 4 5' .
6. Suspended Solids: Choose the number. which best describes the amount 6mf suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy: `
l 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
S. Is there an oil sheen in the stormwater discharge? Yes �Nof
9. Is there evidence of erosion or deposition at.the outfalI? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5 WU-242-051308

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
l ♦ ,n — A /,
Permit No.: N/C/
. —�
Facility Name:
County:
Inspector:
Date of inspection:
Time of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verb if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event"' is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded'by at least72 hourS-(3- days) in which -no storm event-measuiing. greater than 0.1 inches has
occurre smg a storm event may contain up to 1 consecutive li6itirs of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Perk3 ktee or Designee)
1. Outfall Description:
Outfall No.
Receiving Stream: Q/1
Describe tho industrial activities that occur within the ouffall drainage area:
Struc re (pip ditch, etc.) _
A -I � �
2. Color: Describe the color of the
(light, medium, dark) as descriptors: -A
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e.; smells strongly of oil, weak
11 �y chlorine odor, etc.): d7
Page.] of 2
SWU-242-05I308.

4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
0 2 3 4' 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
. � 2 3 4 5 .
6. Suspended Solids: Choose the number which best describes the amount.of suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely*#iuddy:
2 3 4 5
7. Is there any foam in the stormwater discharge`? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions,warrant�further investigation.
Page 2 of 2
s WU-242-05 f 308

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICI_I I 1 I 1_I^I
Facility
County:
Inspectc
Date of
Time of Inspection: ki Y2,1_
f
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below)s ❑ No
or Certificate of Coverage No.: NICIGILILI—Or-1 6 4
Please checkyour permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded'by at least 72 hours-(3- days) in which no storm event`measufirig greatcr'than 0.1 inches has
occurre smg a storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature df Permittee Designee)
1. Outfall Description:
Outfall No.. Structure (pipe, ditch, etc.) �i'A �Jz2—
Receiving Stm:
De jibe they industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Descri, ejany distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): (I1'"C--
Page .1 of 2
S WU-242-051308.

40 , '
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy: G
2 3 4' 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered t�vith floating solids:
.. � 2 3 4 5
6. Suspended Solids: Choose:tbe•number which best describes the amount` of.suspefi&d solids in
the stormwater discharge, where I is no solids and 5 is extremely•rnuddy:
2 3, 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S WU-242-051308

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N/CI_
Facility Name: -71
County:
Inspector:
Date of Inspection:
Time of Inspection:
' Total Event Precipitation (inches):
RT cc�/V,
JUL o�
DWR 86rFj�ES
"T lON
or Certificate of Coverag�No.: •N/CIGII f 1 qQI 4 ;z
Phone No.
I
• 75 •
Was this a Representative Storm Event? (See information below) ZYes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours-(1 days) in-whichAno "storm eveht'rni asufing greater than 0.1 inches has
occurred. ► single storm ev6Ft may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Sign ture of Permitte o ignee)
1. Outfall ascription:
Outfall No. Structure pipe, d'
Receiving Stream: �4t ^ 14 A _
Describe the industrial act'vities that occur within the outfall drainage area:
2. Color: Describe the color of the d
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe anydistinct odors that the discharge may have (i.e.; smells strongly of oil, weak
chlorine odor, etc.): k*A f,
Page .1 of 2
SWU-242-05 L308

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
10 2 3 4' 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspen ded Solids- Chodse-the number which best diescril es.the"Amouni.df sus td solids in
. . � �r
the stormwater discharge, where I is no solids and 5 is extrCrnelY'muddy-.
'.
2 3 .4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
.. Yes
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU.-242-051308

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICI_I_I
Facility Name: .
County:
Inspector: ft
Date of Inspection:"w
Time of Inspection:
Total Event Precipitation (inches):
/ or Certificate of
AIR
Phone No.
•
-S
�No.: NICIGl1l14 QI6l
Was this a Representative Storm Event? (See information below) , es ❑ No
e 1
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded'by at least 72,hours (3 days) in whichlno "storm event measuring greater than 0.1 inches has
occurred: A'single storm FeV6nt may contain up to f 0 consecutive hours of To precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
ivaA& z
(Signa re of Permittee or gnee)
1. Outfall Description:
Outfall No. Structure pipe, d'tc ,etc.) 9 4424E!:—
19
Receiving Stream: �Jvt I!
Describe the industrial activities that occur within the outfall drainage area: no.r
2. Color: Describe the color of the
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
I .sL .
3. Odor: Describe any i t' ct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): D n `
Page .1 of 2
SWU-242-051308 ��

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
n 2 3 4' 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
•. 1 2 3 4 5
6. Suspended Solids: Choose -the number which best describes,the';amount of;suspendiM solids in
1.
the stormwater discharge, where 1 is no solids and 5 is extremely muddy: r� , '.•.
2 3 4 S .
7. Is there any foam in the itor�rnwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at.the outfall? Yes
10. Other Obvious Indicators of Storlmwater Pollution:
List and describe ,
s
1 �
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5 WU-242-051308

r
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICIIIl�l l I I 1 or Certificate of Coverage NQ.: NIC/G/ Pil o/ _01-
Facility Name: cwt
County: Phone No. CY�{
Inspector: S
Date of Inspection: IS Z.
Time of Inspection: �- Al'
z�
Total Event Precipitation (inches):
Was this a Representati a Storm Event? (See information below) 0100yes ❑ No
Please check your permit to verify. if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 7q hours-(3-days) in which'no'stofirf event nieasucing greater'than 0.1 inches has
occurred —A single s orm event may contain up to I - consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of P4mittee or Designe
I. Outfal escription: n
Outfall No. Structure (pipe, ditch ptc.)
Receiving Stream: %.
Describe the industrial act' ities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: {) /% -e__ _
rl
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): '"_," ,0-- ,
S WU-242-051308
Page.] of 2

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4' S
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: 'Choose the number which,best describes the atriount of, su$pended solids in
the stormwater discharge, where 1 is no solids and 5 is extr6rriely muddy: '
�. 2 3 .,4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at -the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrpnt further investigation.
Page 2 of 2
S WU-242-051308

Permit No.: N/CI_
Facility Name: —1
County: frn
'Inspector: -lam
Date of Inspection:
Time of Inspection:
�l
�)yA „a SYA7f'
K viA
RECEIVED
•'�.�' DEC 23 2014
CENTRAL FILES
Stormwater Discharge Outfall (SDO) oWR SECTION
Qualitative Monitoring Report
or Certificate of Coverage o.:,N/CIGII�IJ 1�x1
Total Event Precipitation (inches): •
Phone
Was this a Representative Storm Event? (See information below) 1 Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches, of rainfall and that
is preceded by at least 72 hours (3 days) in which no storrn-event'measuring-greafer than 0.1 inches has
occurre . Asingle s or a even may contain up to consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pakinittee s(gnee)
1. Outfall Description:
Outfall No. _ Structure (pipe, ditch, etc.)
Receiving Stream:
Pqcribe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: fort -e— -
3. Odor: Describe
chlorine odor, etc.):
distinct odors that the discharge may have (i.e.; smells strongly of oil, weak
S WU-242-051308
Page .1 of 2

kIt
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
2 3 4' 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
6. Suspended Solids: Choose the,number which best.describes the amounfof suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:',
7. Is there any foam in the stormwater discharge? Yes moo}
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence -of erosion or deposition at the outfall? . Yes (No j-
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen,_ or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S WU-z42-051308

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICI_
Facility Name:
County: —"�`
Inspector:
Date of Inspection:
Time of Inspection:
rl -
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below),,,ffYes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches, of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm�event-irieasuring'greater than-0.I inches has
occurre—A single storm even may up to I 0 consecutive hours of no or' imitation. I
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Nrmitteec)lyegignee)
1. Outfall escription:
Outfall No. Structure (pi e, ditch, etc.) ; y>-P
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e.; smells strongly of oil, weak
chlorine odor, etc.): /Vn /�Q_
Pagel of 2
S WU-242-05 I308

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
j 2 3 4' 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
• 1 2 3 4 5
6. Suspended Solids: Choose the,number which best describes'the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:',..,
�l 2 3 4 5
7. Is there any foam in the stormwater discharge?
Yes No
8. Is there an oil sheen in the stormwater discharge? Yes N
9. Is there evidence. of erosion or deposition at the outfall? - ---Yes--
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S WU-242-051308

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N/CI
Facility Name: r
County: NN
Inspector:
Date of Inspection: ;p - /5p.
Time of Inspection: '
Total Event Precipitation (inches): e
I or Certificate of Coverage No N/C/Gl�l_Ll�l a
Phone Nov _W g�=r ;Z37'F _
Was this a Representative Storm Event? (See information below) EI-Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded -by at least 72 hours (3 days) in which no storm event measuring'gieatef than-0.1 inches has -
occurred: A sm" g1e storm even may contain up to f 0 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature
ignee)
1. Outfall Description:
Outfall No. T� Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ZY-A n .P
3. Odor: Describe
chlorine odor, etc.): __j
distinct odors that the discharge may have (i.e., smells strongly of oil, weak
SWU-242-051308
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4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
CP 2 3 4' 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the,arhount,of su�pejiided solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy;
2 3 4, 5 L'
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence. of erosion or deposition at the outfall? . - Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant,further investigation.
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S WU-242-051308