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=r RECEIVED
APR 2 g 202.3
Stormwater Discharge Outfall (SDO') CENTRAD R EL FILE
Qualitative Monitoring Report
Permit No.: N/C/ b / 0 / 1 { 0/ 0 / 0 / O / or Certificate of Coverage No.: N/C/G/ 0 / 7 / o / 1 / b / 0 /
Facility Name: Tbe. GLArAt Csmbw Wo
County:
Inspector.
Date of hispection:
Time of inspection
Total Event Precipitation (inches): W) P1
�01}-272�)67�
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 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 Yermittee or Designee)
1. Outfall Description:
Outfall No. ► Structure (pipe, ditch, etc.)yltd.
Recelvmg Stream: l Qbx.% Crk
Describe the industrial activities that occur within the outfall drainage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: No 40r.
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Na 0�01-
Page.l oft
SWU-242-051308
A
4. Cc-lar3tj'
anci 5 is �e-r! ciouov:
4
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:
-- Cl) 2 3 4 5
6. Suspended Solids: Choosa_the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddv:
=1 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 Q
Yes CNo)
Yes QNo
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.
S WU-242-051308
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