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Smith Island Facility — Sludge Disposal Site Cap Construction <br />ESC Inspection Form <br />Stormwater Discharges From the Site <br />Observed? <br />Y N <br />ProblemlCorrective Action <br />Location <br />Turbidity <br />Va <br />Discoloration <br />Sheen <br />Location <br />Turbidity <br />Discoloration <br />Sheen <br />General Comments and Notes <br />Includes BMP repairs, maintenance, or Installations m dz as a result of the inspection <br />Were photos taken? D Yes o <br />If photos 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. I <br />I In com liance <br />❑ Out of compliance <br />I certify that this report is true, accurata, and complete, to the best of my knowledge and belief. <br />Name Title Signature Date <br />SEP 2 2 2010 <br />Page of - <br />I�jyL <br />