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I <br /> Cleaning and Maintenance Report <br /> BI* CLEAN Modular Wetlands System V✓ETLANM I <br /> ENVIRONMENTAL SERVICES,INC. <br /> Project Name For Office Use Only I <br /> Project Address <br /> (city) (Zip Code) (Reviewed By) 111 <br /> Owner/Management Company <br /> (Date) <br /> Office personnel to complete section to <br /> Contact Phone( ) — the left. <br /> Inspector Name Date / / Time AM/PM <br /> Type of Inspection ❑ Routine ❑ Follow Up ❑ Complaint ❑Storm Storm Event in Last 72-hours? ❑ No ❑ Yes <br /> Weather Condition Additional Notes <br /> I <br /> Condition of Media Operational Per <br /> Site GPS Coordinates Manufacturer/ Trash Foliage Sediment Total Debris 25/50/75/100 Manufactures' <br /> Map# of Insert Description/Sizing Accumulation Accumulation Accumulation Accumulation (will be changed Specifications <br /> @ 75%) (If not,why?) <br /> Lat: MWS <br /> Catch Basins <br /> Long: <br /> MWS <br /> Sedimentation <br /> Basin I <br /> Media Filter <br /> Condition <br /> 1 <br /> Plant Condition <br /> Drain Down Media I <br /> Condition <br /> Discharge Chamber I <br /> Condition <br /> Drain Down Pipe I <br /> Condition <br /> Inlet and Outlet <br /> Pipe Condition <br /> Comments: <br /> I <br /> 2972 San Luis Rey Road,Oceanside,CA 92058 P.760.433.7640 F.760.433.3176 <br /> 1 <br /> I <br />