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Inspection Checklist 1 Operation and Maintenance Program For Stormwater Pollution Prevention Inspection Checklist Facility Name NPDES Permit MO-R040005 Facility Address Facility Representative(s) Date Inspection is required under Section 4.2.6.1.3 of the Phase II Stormwater MS4 permit, which states that the Plan Area Stormwater Management Plan include “Maintenance BMPs, maintenance schedules, and long-term inspection procedures for controls to reduce floatable and other pollutants to the permittee’s regulated Small MS4.” A comprehensive inspection utilizing this checklist is to be performed on an annual basis by a qualified person. Additionally, it is recommended that condensed, regular inspections be conducted by site staff on a more frequent basis. Inspection must cover entire facility and operations to identify any conditions or operations that could result in pollutants being introduced to storm water flows into the MSD separate storm sewer system. Review all sources listed in the permittee’s O&M program document according to the listed BMPs to ensure implementation. Discuss findings with staff and communicate to employees. If “Yes” checked, BMP i s implemented. If “No” checked, comment to describe finding and recommendation. BMP Status Notes, Comments, Actions Taken Material Management Hazardous products purchased necessary for job and used only when no reasonable substitute exists?  Yes  No  N/A All containers properly labeled and wastes properly segregated and disposed of?  Yes  No Waste containers provided and labeled for frequently generated wastes (i.e. batteries, oil, solvents, paint)?  Yes  No Are regulated waste pickup records kept in file?  Yes  No All containers stored inside or under cover to prevent contact with rainfall; or when uncovered, containers are clean and sealed? And stored to avoid corrosion or material contact with ground?  Yes  No Storage areas organized and away from traffic, downspouts, storm drains, and streams to minimize the impact of a leak or spill?  Yes  No Flammable materials properly stored (cabinets, signage, fire protection)?  Yes  No Gas cylinders and other potentially dangerous items securely stored in appropriate locations?  Yes  No  N/A Tanks and containers structurally sound with no signs of leakage?  Yes  No Containment areas and SPCC plans provided when required by SPCC rules (660G/tank, 1320G total), and structurally sound with no signs of leakage?  Yes  No  N/A Outdoor material stockpiles (topsoil, salt, etc.) covered to protect from rainfall or otherwise bermed or contained so that runoff can be captured?  Yes  No  N/A 2 BMP Status Notes, Comments, Actions Taken Have there been any fuel or chemical spill incidents since the last inspection? Were the incidents reported to MDNR?  Yes  No If yes, provide details related to the incident. “Attend fueling” and “no topping off” signs posted at fuel storage tanks in good condition?  Yes  No  N/A Automatic shutoff devices on pumps, overfill protection, and spill buck ets on fuel storage tanks in good condition, inspected and maintained, and records kept?  Yes  No  N/A Evidence of material spillage or staining noted from waste disposal or maintenance (performed or needed) on equipment outdoors? Drain pans used appropriately?  Yes  No Spill kits with absorbent and/or storm drain plug available nearby with signage indicating the location?  Yes  No Spills of chemicals or vehicle fluids cleaned up immediately using dry methods (absorbents), minimizing the use of water whenever possible?  Yes  No  N/A Emergency contact numbers posted nearby for spill reporting and spill clean-up response?  Yes  No Facility Are grease/sediment traps (oil/water separators) maintained and pumped as needed, with wastes properly disposed of?  Yes  No  N/A Storm drain inlets marked that they are not to receive liquid or solid wastes?  Yes  No  N/A Storm drain inlets cleaned periodically?  Yes  No  N/A Do trash dumpsters contain acceptable waste and have lids closed and not overflowing? Litter picked up on property?  Yes  No Are vehicles washed in a designated washing area plumbed to sanitary sewer or at a commercial facility?  Yes  No Parking lots inspected for excess dirt, debris, and oil drips, and cleaned using vacuum or dry methods, as necessary?  Yes  No Are all unpaved areas vegetated or otherwise protected to prevent erosion?  Yes  No Overall, are current good housekeeping practices effective in keeping facility area clean?  Yes  No Operations/Activities Is vehicle/equipment maintenance or repair work performed inside, and not outside?  Yes  No When disturbing land, BMPs for erosion and sediment control used?  Yes  No During road maintenance activities, are storm drains protected from fugitive materials?  Yes  No Are street sweepers and other techniques utilized prior to washing/flushing of roadways and bridges?  Yes  No For road salting activities, is all equipment properly calibrated or checked to ensure distribution at the selected rate?  Yes  No 3 BMP Status Notes, Comments, Actions Taken Drop cloths or tarps are utilized during painting and waste-generating construction activities?  Yes  No In parks and other public areas, are litter and debris removed on a regular basis?  Yes  No Are fertilizers and other landscaping chemicals applied per manufacturer’s instructions and during appropriate weather conditions (i.e. not before a rain event)?  Yes  No  N/A When applying pesticides or herbicides, are surface waters and other ecologically sensitive areas avoided?  Yes  No  N/A Plant and lawn maintenance practices conserve water, nutrients, and herbicide? Yard waste properly disposed?  Yes  No Composting and mulching operations conducted in areas sufficiently away from storm drains and surface waters?  Yes  No  N/A Composting/mulching materials in an area protected from run-on and activities conducted to have minimal runoff?  Yes  No  N/A Recycling materials in an area protected from run-on and activities conducted to have minimal runoff?  Yes  No  N/A Is signage present to indicate acceptable and unacceptable composting or recycling materials at the facility?  Yes  No  N/A Do personnel routinely patrol the area to prevent unauthorized dumping?  Yes  No Are all city development and redevelopment project plans submitted to MSD for review?  Yes  No Are all existing city flood management structures (i.e. ponds and detention facilities) operating properly and regularly maintained?  Yes  No  N/A O&M Program Administration Descriptions of activities and locations accurate in the O&M Program document?  Yes  No If No, describe changes which need to be made Are names, titles and contact information accurate under Responsible Parties in the O&M Program document?  Yes  No If No, describe changes which need to be made Have applicable MDNR storm water permits been obtained, or no exposure certifications submitted, for all activities discharging wastewater to the storm system (i.e. pools, two acre composting, vehicle washing, etc)?  Yes  No  N/A Have all employees been made aware of BMPs in the last year and new employees trained?  Yes  No Have vendors been notified of applicable BMPs and satisfactorily complied with them?  Yes  No  N/A If No, describe changes which need to be made Are program documents (including training records and completed inspection checklists) current and on file?  Yes  No Inspector: ______________________________ ______________________________ Name (printed) Title ______________________________________ Signature