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Home My WebLink AboutD10 - Outfall Screening Form 2019 v12.19.19Facility ID Team Date Time (24 hour) ISWI Facility ID Database entry by Accessibility Accessible Inaccessible (reason): Entry Consent Not needed Denied Granted Granted by: Flow? None Suspect pool with pollutant indicators Trickle Moderate Substantial Submerged/Buried? No Bottom > 50% 100% Physical Indicators for All Outfalls Structure Damage Yes No Deposits/stains None Oily Algae Other (notes) Physical Indicator Indicators for Outfalls Present? with Flow or Suspect Description Pools Severity 1—Faint Sewage Rancid/Sour Odor Yes No Petroleum Sulfide 2—Easily Detected Other(notes) 3—Notice from distance 1—Faint in sample bottle Brown Grey Yellow Color Yes No Green Orange 2—Obvious in sample bottle Red Other(notes) 3—Obvious in out -fall flow 1— Slightly cloudy Turbidity Yes No See severity 2—Cloudy 3— Opaque 1— Few/slight Sewage Suds Floatables (not trash) Yes No Petroleum 2—Some, type unknown Other(notes) 3—Some, type known Temperature (°C) Conductivity (VS/cm) PH DO (mg/L) DO (%) Ammonia (mg/L) Chlorine (mg/L) Detergents (mg/L) Copper (mg/L) Phenols (mg/L) Lab Sample? Yes No Illicit Discharge Potential (see definitions) Obvious discharge Suspect Discharge Potential Discharge Unlikely Discharge Facility ID Team Date Time (24 hour) ISWI Facility ID Database entry by Accessibility Accessible Inaccessible (reason): Entry Consent Not needed Denied Granted Granted by: Flow? None Suspect pool with pollutant indicators Trickle Moderate Substantial Submerged/Buried? No Bottom > 50% 100% Physical Indicators for All Outfalls Structure Damage Yes No Deposits/stains None Oily Algae Other (notes) Physical Indicators for Outfalls with Flow or Suspect Pools Indicator Present? Description Severity 1—Faint Sewage Rancid/Sour Odor Yes No Petroleum Sulfide 2—Easily Detected Other (notes) 3—Notice from distance 1—Faint in sample bottle Brown Grey Yellow Color Yes No Green Orange 2— Obvious in sample bottle Red Other(notes) 3—Obvious in outfall flow 1— Slightly cloudy Turbidity Yes No See severity 2— Cloudy 3—Opaque 1— Few/slight Sewage Suds Floatables (not trash) Yes No Petroleum 2— Some, type unknown Other (notes) 3—Some, type known Temperature (°C) Conductivity (µS/cm) PH DO (mg/L) DO (%) Ammonia (mg/L) Chlorine (mg/L) Detergents (mg/L) Copper (mg/L) Phenols (mg/L) Lab Sample? Yes No Illicit Discharge Potential (see definitions) Obvious discharge Suspect Discharge Potential Discharge Unlikely Discharge Notes Notes Definitions: Definitions: Suds: tight foams with strong staying power beyond points of water turbulence Suds: tight foams with strong staying power beyond points of water turbulence Obvious discharge: an illicit discharge is plainly present without need to sample Obvious discharge: an illicit discharge is plainly present without need to sample Suspect discharge: flowing outfall with one or more severity 3 indicators Potential discharge: outfall with presence of two or more indicators Suspect discharge: flowing outfall with one or more severity 3 indicators Potential discharge: outfall with presence of two or more indicators Unlikely discharge: no indicator of illicit discharge Unlikely discharge: no indicator of illicit discharge