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Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N/Cl6l—Ll1/Ol0l O/ Cl or
Facility Name: L.auli'6url) �Jn-k
County: _P,�Ic(iN
Inspector: +
Date of Inspection:
Time of Inspection:
of Coverage No.: N/CA
,MC+" Fo, //W
No. Mfi) 47Gy
RECEIVED
JUN 2 1 2021
CENTRAL FILES
DWR SECTION
1i1i a o13� �r
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) Yes ❑ No
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 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 tlps reportyq �ccu4toand complete to the best of my knowledge:
J
(Signature of Permittee or Designee)
1. Outfall Description: l
Outfall No. Structure pip rtc , etc.) ��5k LQ
Receiving Stream: Sa p
Describe the industrial activities that occur within the outfall drainage area: B n e
2. Color: Describe the color of the
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct c
chlorine odor, etc.):
colors (red, brown, blue, etc.) and tint
the discharge may have (i.e., smells strongly of oil, weak
SWU-242-051308
Page] of2
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 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:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes o
8. Is there an oil sheen in the stormwater discharge? Yes N
9. Is there evidence of erosion or deposition at the outfall? Yes oNo
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.
11. Stormwater System Semiannual Inspection
Date Tim l
14
Comments (It.11At �iej u
Page 2 of 2
S WU-242-051308
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICI61 11.L CD/ 0/ 410l or Certificate of Coverage No.: N/C/G/�l__(_l c�' D/-7/ (q
Facility Name: L-,� vbur
LA)
County: ,o -V k(#rJ Phone No. 4�'*J;
Inspector:
Date of Inspection: C,L I
Time of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) 2r 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 greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. 1
By this signature, I certify that this report i"ccu/aidod complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. tructur pip itc , etc.) tl
---Receiving- Stream: -
Describe the industrial activities that occur within the outfall drainage area: o/tlea
2. Color: Describe the color of the di
(light, medium, dark) as descriptors:
using basic co;grs (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors )hat the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
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:
1 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:
1 � 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:
1 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 o
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stor water Pollution:
List and describe el/ze—
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.
11. Storm wat r ystem Semiannual Inspection
Date Time / c? k
Comments
Page 2 of 2
SWU-242-051308
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NIC16111X 0100/ O/ b/
Facility Name: vi ilvr "
County: iN
Inspector:
Date of Inspection:
Time of Inspection: f
or Cert'ficate of Coverage No.: N/C/G1-L111 0 O/�Z/ 1 V
wl PfA D+ s�J FC2 G/
Phone No./�� yT�� - �'G 7rj
, . .�rr'I
1
Total Event Precipitation (inches): o 7L
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 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 ce2 that th' report i ccu t d complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. pStructur pipe /itch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: a/l
2. Color: Describe the color of the di
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors
chlorine odor, etc.): 0
using basic lcglors (red, brown, blue, etc.) and tint
the discharge may have (i.e., smells strongly of oil, weak
SWU-242-051308
Page-1 of 2
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 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
b. 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:
1 2 3 4 5 --- -- - 4_ -
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 oNo
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.
11. Stormwater Pystem Semiannual Inspection
Date
Comments
Page 2 of 2
SWU-242-051308