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Smith Island Facility — Sludge Disposal Site Cap Construction <br />ESC Inspection Form <br />Starmwater Dischar es Fromthe Slte <br />Observed? <br />Y N ProblemrCorreclive Action <br />Location <br />Turbidity <br />Discoloration <br />/ I V <br />Sheen <br />Location <br />Turbidity <br />Discoloration <br />Sheen <br />General Comments and Notes <br />Includes BMP repairs, maintenance, or installations m de as a result of the Inspection <br />Were photos taken? Yes o <br />If photos taken; describe below: <br />-------------------- <br />Based on the results of the inspection, the site was Judged to te: <br />•.vith the terms and conditions of theSWPPP. <br />In com liance <br />❑ Out of com liance <br />1 certify that this report Is true, accurate, and complete, to the best of my knowledge and belief. <br />Name Title nature Date <br />SEP 0 12010 <br />011410 4m ruxaon w dw Page 4 of 4 <br />