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Smith Island Facility —Sludge Disposal Site Cap Construction <br />ESC Inspection Form <br />Y N Problem/CorrectiveAction <br />Location <br />Turbidity <br />Discoloration <br />Sheen <br />Location <br />Turbidity <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 />Ifphotos taken, describe below: <br />Based on the results of the inspection, the site was judged to be: <br />with the terms and conditions of the SWPPP. <br />In com liance <br />❑ Out of com liance <br />I certify that this report is true, accurate, and complete, to the best of my knowledge and belief. <br />Name Title Signature Date <br />SEP 2 2 2010 <br />on n. eee LlaefPage 4 of 4 f4 _ <br />r11. <br />f <br />