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l� �C.)90 1109.F2 <br />Smith Island Vacility — Sludge Disposal Site Cap Construction <br />F_SC Inspection Form <br />General Information <br />Inspector Title: <br />pate:'/ i�2 3�7 ni/ CBSCL IkC' <br />Time: /p;pn <br />Inspectlon Type: O After a rain event <br />d Weekly <br />❑ Other <br />Weather:C[Acr�Gv- <(Oy <br />Precipitation: since lost Inspection: (�, In last 24 hours: 0" <br />Description of General Site Coditions: <br />{,(s14 "1 nLu�y��zs nn� n <br />(/r�ue� hOnftaJlLO f�i��r reoL�. 4��. �jtul!'edO^j/t2t�x hClCtedC <br />LJ'/Ki7i�� IFG�+4lI <br />-Inspection of BMPs . <br />Elernmtl: Mark Clearing Limits ` <br />BMP: G103 (High Visibility Plastic or Metal Fence) <br />Location Inspected Functioninq Problem/CorrectiveAction <br />Y N Y I N I NIP 1. <br />nu„r1�. ri <br />Eletnent9r InstallSedime'ntControls' <br />BMP: C230 (Straw Bales) <br />Location <br />Inspected <br />Functioning <br />Problem/Corrective Action <br />Y I N I <br />BMP: C233 (Slit Fence) <br />Location <br />Inspected <br />Y I N I <br />Functioning <br />Problem'Correctiva,Action <br />EYN NIP <br />dad" <br />BMP: C150 (Matedals on Hand) <br />Location . <br />Inspected <br />Functtonina <br />ProbleMCorrectiveAction <br />I <br />Y <br />N'' <br />Y- <br />N <br />I NIP <br />II <br />JAN 0 3 2012 <br />Ottn7,j2!'vu�ecticn lmmcoa Page 1 of 4 <br />