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l <br /> Construction Stormwater Site Inspection Form <br /> I } <br /> i' <br /> Project Name Permit# Inspection Date Time <br /> i <br /> Name of Certified Erosion Sediment Control Lead (CESCL) or qualified inspector if less than one acre <br /> Print Name: <br /> Approximate rainfall amount since the last inspection (in inches): <br /> i <br /> j Approximate rainfall amount in the last 24 hours (in inches): <br /> Current Weather Clear Cloudy ❑ Mist Rain Wind Fog ❑ <br /> fi A.Type of inspection: Weekly Post Storm Event Other <br /> i B. Phase of Active Construction (check all that apply): <br /> i <br /> i Pre Construction/installation of erosion/sediment Clearing/Demo/Grading Infrastructure/storm/roads <br /> s <br /> controls <br /> } Concrete pours Vertical Utilities <br /> r: <br /> Construction/buildings <br /> Offsite improvements Site temporary stabilized Final stabilization <br /> E � <br />% <br /> C.Questions: <br /> 1. Were all areas of construction and discharge points inspected? Yes No <br /> a <br /> i 2. Did you observe the presence of suspended sediment,turbidity, discoloration, or oil sheen Yes _ No <br /> 3. Was a water quality sample taken during inspection? (refer to permit conditions S4&S5) Yes No <br /> 4. Was there a turbid discharge 250 NTU or greater, or Transparency 6 cm or less?* Yes _ No <br /> 5. If yes to#4 was it reported to Ecology? Yes _ No <br /> 1. 6. Is pH sampling required? pH range required is 6.5 to 8.5. Yes No — <br /> r <br /> If answering yes to a discharge, describe the event. Include when,where, and why it happened;what action was taken, <br /> and when. <br /> E. <br /> P: <br /> I'. <br /> 4. <br /> " *If answering yes to#4 record NTU/Transparency with continual sampling daily until turbidity is 25 NTU or less/transparency is 33 <br />(( cm or greater. <br /> i° <br /> Sampling Results: Date: <br /> is <br /> is <br /> I Parameter Method (circle one) Result ... Other/Note. . . <br /> - - NTU cm pH .. . . . <br /> Turbidity tube, meter, laboratory <br /> pH Paper, kit, meter <br /> I <br /> i <br /> i° <br /> t° <br /> I' <br /> j Page 1 <br /> is <br /> i. <br />