Please enable JavaScript in your browser to complete this form. - Step 1 of 5Email *Facility Name *Inspector Name *Inspector Title *Initial Notes or CommentsNextDate and Time of Sampling *Estimated Beginning Date and Time of the Storm *Conditions of the past 48 hours *DryWet, but no runoffRaining Qualifying Storm Event (QSE) is a precipitation event that: Produces a discharge for at least one drainage area; and, Is preceded by 48 hours with no discharge from any drainage area Samples from each discharge location shall be collected within four (4) hours of: The start of the discharge; or, The start of facility operations if the QSE occurs within the previous 12-hour period (e.g., for storms with discharges that begin during the night for facilities with day-time operating hours). Sample collection is required during scheduled facility operating hours and when sampling conditions are safe in accordance with Section XI.C.6.a.ii. Current Conditions *Raining Hard, with runoffLight Rain, with runoffBreak in the rain, with runoffSampling from standing water or a puddle (Really Bad Idea)Estimate Storm Duration *Small Storm, a few hours1 day StormBig Storm, Multiple daysOther, describe below"Other" Storm Duration explanationNextpH * The pH test needs to be done within the first 15 minutes. The acceptable pH should be between 6-9. Please take a picture of the pH paper immediately. PH paper is acceptable. If you have a pH meter, it can support the pH paper color interpretation, but supporting calibration record is required for using a meter. Using pH litmus paper is acceptable. Sampling Event ObservationsOdors *YesNoOdor DescriptionSuspended Material (particles in the water?) *YesNoSuspended Material DescriptionDiscolorations *YesNoDiscolorations DescriptionIs there anything else that should be noted?Floating Material (on the water, grass, paper, bugs, plastic, etc..) *YesNoFloating Material DescriptionSheen (generally floating oil, rainbow) *YesNoSheen DescriptionTurbidity (measure of relative clarity of a liquid) *YesNoTurbidity DescriptionOther Sampling ObservationIs there anything else that should be noted?NextNumber of Sampling LocationsHow many storm drains or other discharge locations are at the Facility? (This should match what is in your SWPPP)Sample Location Observation of Deficiencies *No Deficiencies were observed Deficiencies were observedIf there are sample deficiencies at any location, click Deficiencies were observed and additional questions will appear.Deficiencies were Observed at the following Locations *Sample Location 1Sample Location 2Sample Location 3Sample Location 4Sample Location 5List each Sample Location and the DeficiencyExample: North Drain was missing a filter South Drain was clogged with leavesNextNon Storm Water Discharge (NSWD)? *Yes - (If YES, complete the NSWD observation below).No Authorized NSWD Examples: Fire Hydrant Flushing Facility Fire Suppression Flushing Non Authorized NSWD Pressure washing Running garden hose, etc... NSWD Observations *No non-stormwater discharges are observed.A authorized non-stormwater discharge is occurring.An unauthorized non-stormwater discharge is occurring.NSWD is a Non Storm Water Discharge (in a nutshell, a NSWD is something other than rain creating a water discharge.Exception Documentation (explanation required if inspection could not be conducted).SignatureClear SignatureSubmit
