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Smith Island Facility — Sludge Disposal Site Cap Construction <br />ESC Inspection Form <br />StormwaterDischarges From theSita <br />Observed? <br />Y N Problem/CorrectiveActlon <br />Location <br />Turbidity <br />Discoloration <br />Sheen <br />Nd t/ I/L',z y ,r <br />Location <br />Cyr((_ <br />_ <br />Turbidity <br />Discoloration <br />Sheen <br />--- <br />General Comments and Notes <br />Includes BMP repairs, maintenance, or Installations made as a result of the ins action <br />Were photos taken? 0 Yes too <br />If photos tzkeri, 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 Ibis report Is true, accurate, and complete, to the best of my knowledge and belief. <br />le' <br />Name ITitle —�` Signature Dale <br />sEP 2 2 2010 <br />onno .w e.o«ro,e�a Page 4 of 4 <br />