Orange County Coastkeeper v. Republic Services, Inc. et al

Filing 34

CONSENT DECREE by Judge Beverly Reid O'Connell. NOW THEREFORE IT IS HEREBY STIPULATED BETWEEN THE SETTLING PARTIES AND ORDERED AND DECREED BY THE COURT AS FOLLOWS: Defendants shall pay a total of $15,000.00 to Coastkeeper for fees and costs incurred by Coastkeeper in monitoring Defendants' compliance with this Consent Decree Defendants agree make a payment of $167,000.00 Payment shall be made within thirty (30) days of entry of this Consent Decree by the Court payable to the "O.C./I.E. Public Interest Green Fund" and delivered by certified mail or overnight delivery to: Orange County Community Foundation, 4041 MacArthur Boulevard, Suite 510, Newport Beach, California 92660. Defendants shall pay a total of  6;193,000.00 to Coastkeeper to partially reimburse Coastkeeper for its investigation fees, expert/consultant fees and costs, and reasonable attorneys' fees incurred as a result of investigating and preparing the lawsuit, and negotiating this Con sent Decree. This Consent Decree constitutes a full and final settlementof this matter. (MD JS-6. Case Terminated.) (Attachments: # 1 Exhibit A, # 2 Figures, # 3 Appendix B, # 4 Figures, # 5 Appendix C, # 6 Figures, # 7 Appendix B Receipt of Notice of Intent, # 8 Figures, # 9 Tables, # 10 Tables - Part 1) (jp)

-40Regional Water Boards may approve proposals to substitute
watershed monitoring for some or all of the requirements of
this Section if the Regional Water Board finds that the
watershed monitoring will provide substantially similar
monitoring information in evaluating facility operator
compliance with the requirements of this General Permit.

-41TABLE D
ADDITIONAL ANALYTICAL PARAMETERS
Subsector

SIC

Activity Represented

Parameters

SECTOR A. TIMBER PRODUCTS
A1
2421 General Sawmills and Planing Mills ....................................................................................... COD;TSS;Zn
A2
2491 Wood Preserving ..................................................................................................................................As;Cu
A3
2411 Log Storage and Handling........................................................................................................................TSS
A4
2426 Hardwood Dimension and Flooring Mills..................................................................................... COD;TSS
A4
2429 Special Product Sawmills, Not Elsewhere Classified.................................................................... COD;TSS
A4
243X Millwork, Veneer, Plywood, and Structural Wood ....................................................................... COD;TSS
A4
(except 2434--Wood Kitchen Cabinet Manufacturers)
A4
244X Wood Containers ........................................................................................................................... COD;TSS
A4
245X Wood Buildings and Mobile Homes ............................................................................................. COD;TSS
A4
2493 Reconstituted Wood Products ....................................................................................................... COD;TSS
A4
2499
Wood Products, Not Elsewhere Classified
SECTOR B.
B1
B2
B3
B4
B5

PAPER AND ALLIED PRODUCTS MANUFACTURING
261X Pulp Mills ........................................................................................................................................................
262X Paper Mills ......................................................................................................................................................
263X Paperboard Mills ....................................................................................................................................COD
265X Paperboard Containers and Boxes...................................................................................................................
267X Converted Paper and Paperboard Products, Except Containers and Boxes ....................................................

SECTOR C. CHEMICAL AND ALLIED PRODUCTS MANUFACTURING
C1
281X Industrial Inorganic Chemicals.....................................................................................................Al;Fe;N+N
C2
282X Plastics Materials and Synthetic Resins, Synthetic Rubber,
Cellulosic, and Other Manmade Fibers Except Glass ................................................................................Zn
C3
283X Drugs ...............................................................................................................................................................
C4
284X Soaps, Detergents, and Cleaning Preparations; Perfumes,
Cosmetics, and Other Toilet Preparations .........................................................................................N+N;Zn
C5
285X Paints, Varnishes, Lacquers, Enamels, and Allied Products
C6
286X Industrial Organic Chemicals ..........................................................................................................................
C7
287X Nitrogenous and Phosphatic Basic Fertilizers, Mixed
Fertilizer, Pesticides, and Other Agricultural Chemicals .................................................. Fe;N+N;Pb;Zn;P
C8
289X Miscellaneous Chemical Products...................................................................................................................
3952 Inks and Paints, Including China Painting Enamels, India Ink,
(limited to list) Drawing Ink, Platinum Paints for Burnt Wood or Leather Work,
Paints for China Painting, Artist's Paints, and Artist's Watercolors ...............................................................
SECTOR D. ASPHALT PAVING/ROOFING MATERIALS MANUFACTURERS AND LUBRICANT
MANUFACTURERS
D1
295X Asphalt Paving and Roofing Materials ....................................................................................................TSS
D2
2992 Lubricating Oils and Greases..........................................................................................................................
----------------------------------------------------------------------------------------------------------------------------------------------------------Al - Aluminum
As - Arsenic
NH3- Ammonia
Zn - Zinc

Cd - Cadmium
CN - Cyanide
Hg - Mercury
TSS -Total Suspended Solids

Subsector

SIC

Parameter Names
Cu - Copper
Mg - Magnesium
Fe - Iron
Ag - Silver
P - Phosphorus
Se - Selenium
COD - Chemical Oxygen Demand

Activity Represented

BOD - Biochemical Oxygen Demand
N + N - Nitrate & Nitrite Nitrogen
Pb - Lead

Parameters

-42SECTOR E. GLASS, CLAY, CEMENT, CONCRETE, AND GYPSUM PRODUCT MANUFACTURING
E1
3211 Flat Glass .........................................................................................................................................................
E1
322X Glass and Glassware, Pressed or Blown .........................................................................................................
E1
323X Glass Products Made of Purchased Glass .......................................................................................................
E2
3241 Hydraulic Cement ............................................................................................................................................
E3
325X Structural Clay Products .............................................................................................................................Al
E3
326X Pottery and Related Products ......................................................................................................................Al
E3
3297 Non-Clay Refractories ................................................................................................................................Al
E4
327X Concrete, Gypsum, and Plaster Products (Except Lime) ................................................................... TSS;Fe
(except 3274).
E4
3295 Minerals and Earths, Ground, or Otherwise Treated ........................................................................... TSS;Fe
SECTOR F. PRIMARY METALS
F1
331X Steel Works, Blast Furnaces, Rolling & Finishing Mill.......................................................................Al;Zn
F2
332X Iron and Steel Foundries.................................................................................................. Al;TSS;Cu;Fe;Zn
F3
333X Primary Smelting and Refining of Nonferrous Metals...................................................................................
F4
334X Secondary Smelting and Refining of Nonferrous Metals...............................................................................
F5
335X Rolling, Drawing, and Extruding of Nonferrous Metals .................................................................... Cu;Zn
F6
336X Nonferrous Foundries (Castings)........................................................................................................ Cu;Zn
F7
339X Miscellaneous Primary Metal Products
SECTOR G. METAL MINING (ORE MINING AND DRESSING) EXCEPT INACTIVE METAL
MINING ACTIVITIES ON FEDERAL LANDS WHERE AN OPERATOR CANNOT BE IDENTIFIED
G1
101X Iron Ores.........................................................................................................................................................
G2
102X Copper Ores......................................................................................................................... TSS;COD;N+N
G3
103X Lead and Zinc Ores.........................................................................................................................................
G4
104X Gold and Silver Ores ......................................................................................................................................
G5
106X Ferroalloy Ores, Except Vanadium ................................................................................................................
G6
108X Metal Mining Services....................................................................................................................................
G7
109X Miscellaneous Metal Ores ..............................................................................................................................
SECTOR H. COAL MINES AND COAL MINING-RELATED FACILITIES
NA
12XX Coal Mines and Coal Mining-Related Facilities...........................................................................TSS;Al;Fe
SECTOR I. COAL MINES AND COAL MINING-RELATED FACILITIES
I1
131X Crude Petroleum and Natural Gas ..................................................................................................................
I2
132X Natural Gas Liquids........................................................................................................................................
I3
138X Oil and Gas Field Services ............................................................................................................................
SECTOR J. MINERAL MINING AND DRESSING EXCEPT INACTIVE MINERAL MINING ACTIVITIES
OCCURRING ON FEDERAL LANDS WHERE AN OPERATOR CANNOT BE IDENTIFIED
J1
141X Dimension Stone .....................................................................................................................................TSS
J1
142X Crushed and Broken Stone, Including Rip Rap.......................................................................................TSS
J1
148X Nonmetallic Minerals, Except Fuels........................................................................................................TSS
J2
144X Sand and Gravel ............................................................................................................................ TSS;N+N
J3
145X Clay, Ceramic, and Refractory Materials .......................................................................................................
J4
147X Chemical and Fertilizer Mineral Mining ........................................................................................................
J4
149X Miscellaneous Nonmetallic Minerals, Except Fuels.......................................................................................

-43Subsector

SIC

Activity Represented

Parameters

SECTOR K. HAZARDOUS WASTE TREATMENT STORAGE OR DISPOSAL FACILITIES
NA
4953 Hazardous Waste Treatment Storage or Disposal ............................................................ NH3;Mg;COD;As
Cd;CN;Pb
Hg;Se;Ag
SECTOR L. LANDFILLS AND LAND APPLICATION SITES
NA
4953 Landfills and Land Application Sites That Receive or........................................................................ TSS;Fe
Have Received Industrial Wastes, Except Inactive Landfills
or Land Applications Sites Occurring on Federal Lands
Where an Operator Cannot be Identified
SECTOR M. AUTOMOBILE SALVAGE YARDS
NA
5015 Facilities Engaged in Dismantling or Wrecking Used Motor ..................................................TSS;Fe;Pb;Al
Vehicles for Parts Recycling or Resale and for Scrap
SECTOR N. SCRAP RECYCLING FACILITIES
NA
5093 Processing, Reclaiming, and Wholesale Distribution of Scrap .................................................... TSS;Fe;Pb
and Waste Materials............................................................................................................. Al;Cu;Zn;COD
SECTOR O. STEAM ELECTRIC GENERATING FACILITIES
NA
4911 Steam Electric Power Generating Facilities ............................................................................................... Fe
SECTOR P. LAND TRANSPORTATION FACILITIES THAT HAVE VEHICLE AND EQUIPMENT
MAINTENANCE SHOPS AND/OR EQUIPMENT CLEANING OPERATIONS
P1
40XX Railroad Transportation ..................................................................................................................................
P2
41XX Local and Highway Passenger Transportation ...............................................................................................
P3
42XX Motor Freight Transportation and Warehousing ............................................................................................
P4
43XX United States Postal Service ...........................................................................................................................
P5
5171 Petroleum Bulk Stations and Terminals ..........................................................................................................
SECTOR Q. WATER TRANSPORTATION FACILITIES THAT HAVE VEHICLE (VESSEL) &
EQUIPMENT MAINTENANCE SHOPS AND/OR EQUIPMENT CLEANING OPERATIONS
NA
44XX Water Transportation ................................................................................................................ Al;Fe;Pb;Zn
SECTOR R. SHIP AND BOAT BUILDING OR REPAIRING YARDS
NA
373X Ship and Boat Building or Repairing Yards...................................................................................................
SECTOR S. AIR TRANSPORTATION FACILITIES
NA
45XX Air Transportation Facilities That Have Vehicle .........................................................BOD;COD;NH3;pH
Maintenance Ships, Material Handing Facilities,
Equipment Cleaning Operations, or Airport and/or
Aircraft Deicing/Anti-icing Operations

-44Subsector

SIC

Activity Represented

Parameters

SECTOR T. TREATMENT WORKS
NA
4952
Treatment Works Treating Domestic Sewage or Any Other
Sewage Sludge or Wastewater Treatment Device or System
Used in the Storage, treatment, recycling, or Reclamation
of Municipal or Domestic Sewage with a Design Flow of
1.0 MGD or More or Required to Have an Approved Pretreatment
Program...........................................................................................................................................................
SECTOR U. FOOD AND KINDRED PRODUCTS
U1
201X Meat Products .................................................................................................................................................
U2
202X Dairy Products.................................................................................................................................................
U3
203X Canned, Frozen and Preserved Fruits, Vegetables and Food
Specialties ......................................................................................................................................................
U4
204X Grain Mill Products..................................................................................................................................TSS
U5
205X Bakery Products ..............................................................................................................................................
U6
206X Sugar and Confectionery Products
U7
207X Fats and Oils............................................................................................................... BOD;COD;TSS;N+N
U8
208X Beverages ........................................................................................................................................................
U9
209X Miscellaneous Food Preparations and Kindred Products................................................................................
NA
21XX Tobacco Products ............................................................................................................................................
SECTOR V. TEXTILE MILLS, APPAREL, AND OTHER FABRIC PRODUCT MANUFACTURING
V1
22XX Textile Mill Products......................................................................................................................................
V2
23XX Apparel and Other Finished Products Made From Fabrics and
Similar Materials...........................................................................................................................................
SECTOR W. FURNITURE AND FIXTURES
NA
25XX Furniture and Fixtures ....................................................................................................................................
NA
2434 Wood Kitchen Cabinets ..................................................................................................................................
SECTOR X. PRINTING AND PUBLISHING
NA
2732 Book Printing ..................................................................................................................................................
NA
2752 Commercial Printing, Lithographic ................................................................................................................
NA
2754 Commercial Printing, Gravure........................................................................................................................
NA
2759 Commercial Printing, Nor Elsewhere Classified ............................................................................................
NA
2796 Platemaking and Related Services ..................................................................................................................
SECTOR Y. RUBBER, MISCELLANEOUS PLASTIC PRODUCTS, AND MISC. MANUFACTURING INDUSTRIES
Y1
301X Tires and Inner Tubes ................................................................................................................................Zn
Y1
302X Rubber and Plastics Footwear....................................................................................................................Zn
Y1
305X Gaskets, Packing, and Sealing Devices and Rubber and Plastics ........................................................... Zn
Hose and Belting
Y1
306X Fabricated Rubber Products, Not Elsewhere Classified.............................................................................Zn
Y2
308X Miscellaneous Plastics Products .....................................................................................................................

-45-

Subsector

SIC

Activity Represented

Parameters

Y2
Y2
Y2
Y2

393X
394X
395X
396X

Y2

399X

Musical Instruments ........................................................................................................................................
Dolls, Toys, Games, and Sporting and Athletic Goods ..................................................................................
Pens, Pencils, and Other Artists' Materials .....................................................................................................
Costume Jewelry, Costume Novelties, Buttons, and
Miscellaneous Notions, Except Precious Metal.............................................................................................
Miscellaneous Manufacturing Industries ........................................................................................................

SECTOR Z. LEATHER TANNING AND FINISHING
NA
311X Leather Tanning and Finishing .......................................................................................................................
NA
NA
Facilities that Make Fertilizer Solely From Leather Scraps
and Leather Dust ............................................................................................................................................
SECTOR AA.
AA1
AA1
AA1
AA1
AA1
AA1
AA1
AA1
AA1
AA1
AA1
AA1
AA1
AA2

FABRICATED METAL PRODUCTS
3429 Hardware, Not Elsewhere Classified ......................................................................................Zn;N+N;Fe;Al
3441 Fabricated Structural Metal.....................................................................................................Zn;N+N;Fe;Al
3442 Metal Doors, Sash, Frames, Molding, and Trim.....................................................................Zn;N+N;Fe;Al
3443 Fabricated Plate Work (Boiler Shops) ....................................................................................Zn;N+N;Fe;Al
3444 Sheet Metal Work ...................................................................................................................Zn;N+N;Fe;Al
3451 Screw Machine Products.........................................................................................................Zn;N+N;Fe;Al
3452 Bolts, Nuts, Screws, Rivets, and Washers ..............................................................................Zn;N+N;Fe;Al
3462 Iron and Steel Forgings...........................................................................................................Zn;N+N;Fe;Al
3471 Electroplating, Plating, Polishing, Anodizing, and Coloring..................................................Zn;N+N;Fe;Al
3494 Valves and Pipe Fittings, Not Elsewhere Classified...............................................................Zn;N+N;Fe;Al
3496 Miscellaneous Fabricated Wire Products................................................................................Zn;N+N;Fe;Al
3499 Fabricated Metal Products, Not Elsewhere Classified............................................................Zn;N+N;Fe;Al
391X Jewelry, Silverware, and Plated Ware....................................................................................Zn;N+N;Fe;Al
3479 Coating, Engraving, and Allied Services ...........................................................................................Zn;N+N

SECTOR AB. TRANSPORTATION EQUIPMENT, INDUSTRIAL OR COMMERCIAL MACHINERY
NA
35XX Industrial and Commercial Machinery (except 357X Computer and
Office Equipment) .......................................................................................................................................................
NA
37XX Transportation Equipment (except 373X Ship and Boat Building and
Repairing......................................................................................................................................................................
SECTOR AC. ELECTRONIC, ELECTRICAL. PHOTOGRAPHIC, AND OPTICAL GOODS
NA
36XX Electronic and Other Electrical Equipment and Components,
Except Computer Equipment ......................................................................................................................................
NA
38XX Measuring, Analyzing, and Controlling Instruments;
Photographic, Medical, and Optical Goods; Watches and Clocks.............................................................................
NA
357X Computer and Office Equipment ..............................................................................................................................................................................................................................................

-46Section C:
1.

STANDARD PROVISIONS

Duty to Comply
The facility operator must comply with all of the conditions
of this General Permit. Any General Permit noncompliance
constitutes a violation of the Clean Water Act (CWA) and the
Porter-Cologne Water Quality Control Act and is grounds for
(a) enforcement action for (b) General Permit termination,
revocation and reissuance, or modification or (c) denial of a
General Permit renewal application.
The facility operator shall comply with effluent standards or
prohibitions established under Section 307(a) of the CWA for
toxic pollutants within the time provided in the regulations
that establish these standards or prohibitions, even if this
General Permit has not yet been modified to incorporate the
requirement.

2.

General Permit Actions
This General Permit may be modified, revoked and reissued, or
terminated for cause. The filing of a request by the
facility operator for a General Permit modification,
revocation and reissuance, or termination, or a notification
of planned changes or anticipated noncompliance does not stay
any General Permit condition.
If any toxic effluent standard or prohibition (including any
schedule of compliance specified in such effluent standard or
prohibition) is promulgated under Section 307(a) of the CWA
for a toxic pollutant which is present in the discharge and
that standard or prohibition is more stringent than any
limitation on the pollutant in this General Permit, this
General Permit shall be modified or revoked and reissued to
conform to the toxic effluent standard or prohibition, and
the facility operator so notified.

3.

Need to Halt or Reduce Activity not a Defense
It shall not be a defense for a facility operator in an
enforcement action that it would have been necessary to halt
or reduce the general permitted activity in order to maintain
compliance with the conditions of this General Permit.

4.

Duty to Mitigate
The facility operator shall take all responsible steps to
minimize or prevent any discharge in violation of this
General Permit which has a reasonable likelihood of adversely
affecting human health or the environment.

-475.

Proper Operation and Maintenance
The facility operator at all times shall properly operate and
maintain any facilities and systems of treatment and control
(and related appurtenances) which are installed or used by
the facility operator to achieve compliance with the
conditions of this General Permit and with the requirements
of storm water pollution prevention plans (SWPPPs). Proper
operation and maintenance also include adequate laboratory
controls and appropriate quality assurance procedures.
Proper operation and maintenance may require the operation of
backup or auxiliary facilities or similar systems installed
by a facility operator when necessary to achieve compliance
with the conditions of this General Permit.

6.

Property Rights
This General Permit does not convey any property rights of
any sort, or any exclusive privileges, nor does it authorize
any injury to private property or any invasion of personal
rights, nor any infringement of Federal, State, or local laws
or regulations.

7.

Duty to Provide Information
The facility operator shall furnish the Regional Water
Quality Control Board (Regional Water Board), State Water
Resources Control Board (State Water Board),
U.S. Environmental Protection Agency (U.S. EPA), or local
storm water management agency, within a reasonable time
specified by the agencies, any requested information to
determine compliance with this General Permit. The facility
operator shall also furnish, upon request, copies of records
required to be kept by this General Permit.

8.

Inspection and Entry
The facility operator shall allow the Regional Water Board,
State Water Board, U.S. EPA, and local storm water management
agency, upon the presentation of credentials and other
documents as may be required by law, to:
a.

Enter upon the facility operator's premises where a
regulated facility or activity is located or conducted
or where records must be kept under the conditions of
this General Permit;

b.

Have access to and copy at reasonable times any records
that must be kept under the conditions of this General
Permit;

-48c.

d.
9.

Inspect at
(including
related to
authorized

reasonable times any facilities or equipment
monitoring and control equipment) that are
or may impact storm water discharge or
non-storm water discharge; and

Conduct monitoring activities at reasonable times for
the purpose of ensuring General Permit compliance.

Signatory Requirements
a.

All Notices of Intent (NOIs) submitted to the State
Water Board shall be signed as follows:
(1)

(2)

For a partnership or sole proprietorship: by a
general partner or the proprietor, respectively;
or

(3)

b.

For a corporation: by a responsible corporate
officer. For the purpose of this section, a
responsible corporate officer means: (a) a
president, secretary, treasurer, or vice-president
of the corporation in charge of a principal
business function, or any other person who
performs similar policy or decision-making
functions for the corporation; or (b) the manager
of the facility if authority to sign documents has
been assigned or delegated to the manager in
accordance with corporate procedures;

For a municipality, State, Federal, or other
public agency: by either a principal executive
officer or ranking elected official. The
principal executive officer of a Federal agency
includes the chief executive officer of the agency
or the senior executive officer having
responsibility for the overall operations of a
principal geographic unit of the agency (e.g.,
Regional Administrators of U.S. EPA).

All reports, certifications, or other information
required by the General Permit or requested by the
Regional Water Board, State Water Board, U.S. EPA, or
local storm water management agency shall be signed by
a person described above or by a duly authorized
representative. A person is a duly authorized
representative only if:
(1)

The authorization is made in writing by a person
described above and retained as part of the SWPPP.

-49(2)

The authorization specifies either an individual
or a position having responsibility for the
overall operation of the regulated facility or
activity, such as the position of manager,
operator, superintendent, or position of
equivalent responsibility or an individual or
position having overall responsibility for
named position.)

(3)

If an authorization is no longer accurate because
a different individual or position has
responsibility for the overall operation of the
facility, a new authorization must be attached to
the SWPPP prior to submittal of any reports,
certifications, or information signed by the
authorized representative.

10. Certification
Any person signing documents under Provision 9. above shall
make the following certification:
"I certify under penalty of law that this document and all
attachments were prepared under my direction or supervision
in accordance with a system designed to ensure that
qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly
responsible for gathering the information, the information
submitted is to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are
significant penalties for submitting false information,
including the possibility of fine and imprisonment for
knowing violations."
11. Reporting Requirements
a.

Planned changes: The facility operator shall give
advance notice to the Regional Water Board and local
storm water management agency of any planned physical
alteration or additions to the general permitted
facility. Notice is required under this provision only
when the alteration or addition could significantly
change the nature or increase the quantity of
pollutants discharged.

b.

Anticipated noncompliance: The facility operator will
give advance notice to the Regional Water Board and
local storm water management agency of any planned
changes at the permitted facility which may result in
noncompliance with General Permit requirements.

-50-

c.

d.

12.

Compliance schedules: Reports of compliance or
noncompliance with or any progress reports on interim
and final requirements contained in any compliance
schedule of this General Permit shall be submitted no
later than 14 days following each scheduled date.
Noncompliance reporting: The facility operator shall
report any noncompliance at the time monitoring reports
are submitted. The written submission shall contain
(1) a description of the noncompliance and its cause;
(2) the period of noncompliance, including exact dates
and times, and if the noncompliance has not been
corrected, the anticipated time it is expected to
continue; and (3) steps taken or planned to reduce and
prevent recurrence of the noncompliance.

Oil and Hazardous Substance Liability
Nothing in this General Permit shall be construed to
preclude the institution of any legal action or relieve the
facility operator from any responsibilities, liabilities, or
penalties to which the facility operator is or may be
subject under Section 311 of the CWA.

13.

Severability
The provisions of this General Permit are severable; and if
any provision of this General Permit or the application of
any provision of this General Permit to any circumstance is
held invalid, the application of such provision to other
circumstances and the remainder of this General Permit shall
not be affected thereby.

14.

Reopener Clause
This General Permit may be modified, revoked, and reissued,
or terminated for cause due to promulgation of amended
regulations, receipt of U.S. EPA guidance concerning
regulated activities, judicial decision, or in accordance
with 40 CFR 122.62, 122.63, 122.64, and 124.5. This General
Permit may be reopened to modify the provisions regarding
authorized non-storm water discharges specified in
Section D. Special Conditions.

15.

Penalties for Violations of General Permit Conditions.
a.

Section 309 of the CWA provides significant penalties
for any person who violates a General Permit condition

-51implementing Sections 301, 302, 306, 307 308, 318, or
405 of the CWA, or any General Permit condition or
limitation implementing any such section in a General
Permit issued under Section 402. Any person who
violates any General Permit condition of this General
Permit is subject to a civil penalty not to exceed
$25,000 per day of such violation, as well as any other
appropriate sanction provided by Section 309 of the
CWA.
b.

16.

The Porter-Cologne Water Quality Control Act also
provides for civil and criminal penalties in some cases
greater than those under the CWA.

Availability
A copy of this General Permit shall be maintained at the
facility and be available at all times to the appropriate
facility personnel and to Regional Water Board and local
agency inspectors.

17.

Transfers
This General Permit is not transferable from one facility
operator to another facility operator nor may it be
transferred from one location to another location. A new
facility operator of an existing facility must submit an NOI
in accordance with the requirements of this General Permit
to be authorized to discharge under this General Permit.

18.

Continuation of Expired General Permit
This General Permit continues in force and effect until a
new general permit is issued or the State Water Board
rescinds the General Permit. Facility operators authorized
to discharge under the expiring general permit are required
to file an NOI to be covered by the reissued General Permit.

19.

Penalties for Falsification of Reports
Section 309(c)(4) of the CWA provides that any person who
knowingly makes any false material statement,
representation, or certification in any record or other
document submitted or required to be maintained under this
General Permit, including reports of compliance or
noncompliance shall, upon conviction, be punished by a fine
of not more than $10,000 or by imprisonment for not more
than two years, or by both.

Attachment 1
FACILITIES COVERED BY THIS GENERAL PERMIT
Industrial facilities include Federal, State, municipally owned,
and private facilities from the following categories:
1. FACILITIES SUBJECT TO STORM WATER EFFLUENT LIMITATIONS
GUIDELINES, NEW SOURCE PERFORMANCE STANDARDS, OR TOXIC
POLLUTANT EFFLUENT STANDARDS (40 Code of Federal Regulations
(CFR) SUBCHAPTER N). Currently, categories of facilities
subject to storm water effluent limitations guidelines are
Cement Manufacturing (40 CFR Part 411), Feedlots (40 CFR
Part 412), Fertilizer Manufacturing (40 CFR Part 418),
Petroleum Refining (40 CFR Part 419), Phosphate
Manufacturing (40 CFR Part 422), Steam Electric (40 CFR
Part 423), Coal Mining (40 CFR Part 434), Mineral Mining and
Processing (40 CFR Part 436), Ore Mining and Dressing
(40 CFR Part 440), and Asphalt Emulsion (40 CFR Part 443).
2. MANUFACTURING FACILITIES: Standard Industrial
Classifications (SICs) 24 (except 2434), 26 (except 265 and
267), 28 (except 283 and 285) 29, 311, 32 (except 323), 33,
3441, and 373.
3. OIL AND GAS/MINING FACILITIES: SICs 10 through 14 including
active or inactive mining operations (except for areas of
coal mining operations meeting the definition of a
reclamation area under 40 CFR 434.11(l) because of
performance bond issued to the facility by the appropriate
Surface Mining Control and Reclamation Act (SMCRA) authority
has been released, or except for area of non-coal mining
operations which have been released from applicable State or
Federal reclamation requirements after December 17, 1990);
oil and gas exploration, production, processing, or
treatment operations; or transmission facilities that
discharge storm water contaminated by contact with or that
has come into contact with any overburden, raw material,
intermediate products, finished products, by-products, or
waste products located on the site of such operations.
Inactive mining operations are mined sites that are not
being actively mined but which have an identifiable
facility operator. Inactive mining sites do not include
sites where mining claims are being maintained prior to
disturbances associated with the extraction, beneficiation,
or processing of mined material; or sites where minimal
activities are undertaken for the sole purpose of
maintaining a mining claim.
4. HAZARDOUS WASTE TREATMENT, STORAGE, OR DISPOSAL FACILITIES:
Includes those operating under interim status or a general
permit under Subtitle C of the Federal Resource,
Conservation, and Recovery Act (RCRA).
5. LANDFILLS, LAND APPLICATION SITES, AND OPEN DUMPS: Sites
that receive or have received industrial waste from any of

-2the facilities covered by this General Permit, sites subject
to regulation under Subtitle D of RCRA, and sites that have
accepted wastes from construction activities (construction
activities include any clearing, grading, or excavation that
results in disturbance of five acres or more).
6. RECYCLING FACILITIES: SICs 5015 and 5093. These codes
include metal scrapyards, battery reclaimers, salvage yards,
motor vehicle dismantlers and wreckers, and recycling
facilities that are engaged in assembling, breaking up,
sorting, and wholesale distribution of scrap and waste
material such as bottles, wastepaper, textile wastes, oil
waste, etc.
7. STEAM ELECTRIC POWER GENERATING FACILITIES: Includes any
facility that generates steam for electric power through the
combustion of coal, oil, wood, etc.
8. TRANSPORTATION FACILITIES: SICs 40, 41, 42 (except
4221-25), 43, 44, 45, and 5171 which have vehicle
maintenance shops, equipment cleaning operations, or airport
deicing operations. Only those portions of the facility
involved in vehicle maintenance (including vehicle
rehabilitation, mechanical repairs, painting, fueling, and
lubrication) or other operations identified herein that are
associated with industrial activity.
9. SEWAGE OR WASTEWATER TREATMENT WORKS: Facilities used in
the storage, treatment, recycling, and reclamation of
municipal or domestic sewage, including land dedicated to
the disposal of sewage sludge that are located within the
confines of the facility with a design flow of one million
gallons per day or more or required to have an approved
pretreatment program under 40 CFR Part 403. Not included
are farm lands, domestic gardens, or lands used for sludge
management where sludge is beneficially reused and which are
not physically located in the confines of the facility, or
areas that are in compliance with Section 405 of the Clean
Water Act.
10. MANUFACTURING FACILITIES WHERE INDUSTRIAL MATERIALS,
EQUIPMENT, OR ACTIVITIES ARE EXPOSED TO STORM WATER:
SICs 20, 21, 22, 23, 2434, 25, 265, 267, 27, 283, 285, 30,
31 (except 311), 323, 34 (except 3441), 35, 36, 37 (except
373), 38, 39, and 4221-4225.

Attachment 2
STORM WATER CONTACTS FOR
THE STATE AND REGIONAL WATER BOARDS

See Storm Water Contacts at:
http://www.waterboards.ca.gov/water_issues/programs/stormwater/contact.shtml

Attachment 3

NOTICE OF INTENT (NOI)
INSTRUCTIONS
TO COMPLY WITH STATE WATER RESOURCES CONTROL BOARD
WATER QUALITY ORDER NO. 97-03-DWQ
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
GENERAL PERMIT NO. CAS000001
Who Must Submit
The facility operator must submit an NOI for each industrial
facility that is required by U.S. Environmental Protection Agency
(U.S.EPA) regulations to obtain a storm water permit. The
required industrial facilities are listed in Attachment 1 of the
General Permit and are also listed in 40 Code of Federal
Regulations Section 122.26(b)(14).
The facility operator is typically the owner of the business or
operation where the industrial activities requiring a storm water
permit occur. The facility operator is responsible for all
permit related activities at the facility.
Where operations have discontinued and significant materials
remain on site (such as at closed landfills), the landowner may
be responsible for filing an NOI and complying with this General
Permit. Landowners may also file an NOI for a facility if the
landowner, rather than the facility operator, is responsible for
compliance with this General Permit.
How and Where to Apply
The completed NOI form, a site map, and appropriate fee must
be mailed to the State Water Resources Control Board
(State Water Board) at the following address:
State Water Resources Control Board
Division of Water Quality
P.O. Box 1977
Sacramento, CA 95812-1977
Attn: Storm Water Permitting Unit
Please Note: Do not send the original or copies of the NOI
submittal to the Regional Water Quality Control Board (Regional
Water Board). The original NOI will be forwarded to the Regional
Water Board after processing.
Do not send a copy of your Storm Water Pollution Prevention Plan
(SWPPP) with your NOI submittal. Your SWPPP is to be kept on
site and made available for review upon request.

-2When to Apply
Facility operators of existing facilities must file an NOI in
accordance with these instructions by March 30, 1992. Facility
operators of new facilities (those beginning operations after
March 30, 1992) must file an NOI in accordance with these
instructions at least 14 days prior to the beginning of operations.
Once the completed NOI, site map, and appropriate fee have been
submitted to the State Water Board, your NOI will be processed and
you will be issued a receipt letter with a Waste Discharge
Identification (WDID) Number. Please refer to this number when you
contact either the State or Regional Water Boards.
Fees
The total annual fee is $1359.00.
SWRCB

Checks should be made payable to:

Change of Information
If the information provided on the NOI or site map changes, you
should report the changes to the State Water Board using an NOI
form. Section I of the line-by-line instructions includes
information regarding changes to the NOI.
Questions
If you have any questions completing the NOI, please call the
appropriate Regional Water Board (Attachment 2) or the
State Water Board at [phone].
NOI LINE-BY-LINE INSTRUCTIONS
Please type or print your responses on the NOI. Please complete
the NOI form in its entirety and sign the certification.
Section I--NOI STATUS
Check box "A" if this is a new NOI registration.
Check box "B" if you are reporting changes to the NOI (e.g., new
contact person, phone number, mailing address). Include the
facility WDID #. Highlight all the information that has been
changed.
Please note that a change of information does not apply to a change
of facility operator or a change in the location of the
facility. These changes require a Notice of Termination (NOT) and
submittal of a new NOI and annual fee. Contact the State Water
Board or Regional Water Boards for more information on the NOT Form
and instructions.
Regardless of whether you are submitting a new or revised NOI, you
must complete the NOI in its entirety and the NOI must be signed.

-3Section II--Facility Operator Information
Part A:

The facility operator is the legal entity that is
responsible for all permit related compliance
activities at the facility. In most cases, the
facility operator is the owner of the business or
operation where the industrial activity occurs.
Give the legal name and the address of the person,
firm, public organization, or any other entity that
is responsible for complying with the General
Permit.

Part B:

Check the box that indicates the type of operation.

Section III--Facility Site Information
Part A:

Enter the facility's official or legal name and
provide the address. Facilities that do not have a
street address must provide cross-streets or parcel
numbers. Do not include a P.O. Box address in Part
A.

Part B:

Enter the mailing address of the facility if
different than Part A. This address may be a P.O.
Box.
The contact person should be the plant or site
manager who is familiar with the facility and
responsible for overseeing compliance of the General
Permit requirements.

Part C:

Enter the total size of the facility in either acres
or square feet. Also include the percentage
of the site that is impervious (areas that water
cannot soak into the ground, such as concrete,
asphalt, and rooftops).

Part D:

Determine the Standard Industrial Classification
(SIC) code which best identifies the industrial
activity that is taking place at the facility. This
information can be obtained by referring to the
Standard Industrial Classification Manual prepared
by the Federal Office of Management and Budget which
is available at public libraries. The code you
determine should identify the industrial activity
that requires you to submit the NOI. (For example,
if the business is high school education and the
activity is school bus maintenance, the code you
choose would be bus maintenance, not education.)
Most facilities have only one code; however,
additional spaces are provided for those facilities
that have more than one activity.

Part E:

Identify the title of the industrial activity that
requires you to submit the NOI (e.g., the title of
SIC Code 2421 is Sawmills and Planing Mills,
General). If you cannot identify the title, provide
a description of the regulated activity(s).

-4Section IV--Address for Correspondence
Correspondence relative to the permit will be mailed occasionally.
Check the box which indicates where you would like such
correspondence delivered. If you want correspondence sent to
another contact person or address different than indicated in
Section II or Section III then include the information on an extra
sheet of paper.
Section V--Billing Address Information
To continue coverage under the General Permit, the annual fee must
be paid. Use this section to indicate where the annual fee
invoices should be mailed. Enter the billing address if different
than the address given in Sections II or III.
Section VI--Receiving Water Information
Provide the name of the receiving water where storm water discharge
flows from your facility. A description of each option is included
below.
1.

Directly to waters of the United States: Storm water
discharges directly from the facility to a river, creek, lake,
ocean, etc. Enter the name of the receiving water (e.g.,
Boulder Creek).

2.

Indirectly to waters of the United States: Storm water
discharges over adjacent properties or right-of-ways
prior to discharging to waters of the United States.
Enter the name of the closest receiving water (e.g.,
Clear Creek).

Section VII--Implementation of Permit Requirements
Parts A and B:

Check the boxes that best describe the status
of the Storm Water Pollution Prevention Plan
(SWPPP) and the Monitoring Program.

Part C:

Check yes or no to questions 1 through 4. If
you answer no to any question, you need to
assign a person to these tasks immediately.

As a permit holder you are required to have an SWPPP and Monitoring
Program in place prior to the beginning of facility operations.
Failure to do so is in direct violation of the General Permit. Do
not send a copy of your SWPPP with your NOI submittal.
Please refer to Sections A and B of the General Permit for
additional information regarding the SWPPP and Monitoring Program.
Section VIII--Site Map
Provide a "to scale" drawing of the facility and its immediate
surroundings. Include as much detail about the site as possible.
At a minimum, indicate buildings, material handling and storage
areas, roads, names of adjacent streets, storm water discharge
points, sample collection points, and a north arrow. Whenever

-5possible limit the map to a standard size sheet of paper
(8.5"
x 11" or 11" x 17"). Do not send blueprints unless you are sending
one page and it meets the size limits as defined above.
A location map may also be included, especially in cases where the
facility is difficult to find, but are not to be submitted as a
substitute for the site map. The location map can be created from
local street maps and U.S. Geological Survey (USGS) quadrangle
maps, etc.
A revised site map must be submitted whenever there is a
significant change in the facility layout (e.g., new building,
change in storage locations, boundary change, etc.).
Section IX--Certification
This section should be read by the facility operator. The
certification provides assurances that the NOI and site map were
completed by the facility operator in an accurate and complete
fashion and with the knowledge that penalties exist for providing
false information. It also requires the Responsible Party to
certify that the provisions in the General Permit will be complied
with.
The NOI must be signed by:
For a Corporation: a responsible corporate officer (or
authorized individual).
For a Partnership or Sole Proprietorship:
or the proprietor, respectively.

a general partner

For a Municipality, State, or other non-Federal Public Agency:
either a principal executive officer or ranking elected
official.
For a Federal Agency: either the chief or senior executive
officer of the agency.

State of California
State Water Resources Control Board

NOTICE OF INTENT
TO COMPLY WITH THE TERMS OF THE
GENERAL PERMIT TO DISCHARGE STORM WATER
ASSOCIATED WITH INDUSTRIAL ACTIVITY (WQ ORDER No. 97-03-DWQ)
(Excluding Construction Activities)

SECTION I. NOI STATUS

(please check only one box)

A. [ ] New Permittee

B. [ ] Change of Information

WDID # l

SECTION II. FACILITY OPERATOR INFORMATION
A. NAME:
l l l l l

l

l

l

l

l

l

l

l

l

l

(See instructions)

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

Mailing Address:
l l l l l l l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

City:
l l l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

Contact Person:
l l l l l l l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

Phone:
l l l l -- l l l l -- l l l l l

l

l

l

l

l

l

B. OPERATOR TYPE:
(check one)
1.[ ] Private Individual

2.[ ]Business

State:
l
l

l

l

l

l

l

3.[ ]Municipal

Zip Code:
l l l l l

l -- l

l

l

l

l

l

4.[ ]State

5.[ ]Federal

6.[ ]Other

SECTION III. FACILITY SITE INFORMATION
A. FACILITY NAME
l l l l l l l l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

Phone:
l l l l -- l l l l -- l l l l l

Facility Location:
l l l l l l l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

County:
l l l l l l l l l l l l l l l

City:
l l l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

B. MAILING ADDRESS:
l l l l l l l l l l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

City:
l l l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

C. FACILITY INFORMATION
Total Size of Site:

l

l

l

l

l

l -- l

l

l

l

l

Zip Code:
l l l l l

l -- l

l

l

l

l

l

l

l

( check one)
Acres
Sq. Ft.
[ ]
[ ]

D. SIC CODE(S) OF REGULATED ACTIVITY:

Zip Code:
l l l l l

State:
l

l

l

Contact Person:
l l l l l l l

State:
ClA

Percent of Site Impervious (including rooftops)
l
l %

E. REGULATED ACTIVITY (describe each SIC code):

1. l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

2. l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

3. l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

FOR STATE USE ONLY:

SECTION IV. ADDRESS FOR CORRESPONDENCE
l l Facility Operator Mailing Address (Section II)

l l Facility Mailing Address (Section III, B.)

l l Both

SECTION V. BILLING ADDRESS INFORMATION
SEND BILL TO:
Name:
l l l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

Mailing Address:
l l l l l l l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

Contact Person:
l l l l l l l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

l

Phone:
l l l l -- l l l l -- l l l l l

l

City:
l l l

[ ]Other (enter information below)

l

l

l

[ ]Facility Mailing Address (Section III, B.)

l

l

l

[ ]Facility Operator Mailing Address (Section II)

l

State:
l
l

l

l

l

l

l

Zip Code:
l l l l l

l -- l

l

l

l

l

l

SECTION VI. RECEIVING WATER INFORMATION
Your facility's storm water discharges flow: (check one)

Name of receiving water:

l

[ ] Directly

l l l l l l l l l l l l
(river, lake, stream, ocean, etc.)

l

l

l

OR

l

l

l

l

[ ] Indirectly to waters of the United States.

l

l

l

l

l

l

l

l

l

l

l

SECTION VII. IMPLEMENTATION OF PERMIT REQUIREMENTS
A. STORM WATER POLLUTION PREVENTION PLAN (SWPPP) (check one)
[ ] A SWPPP has been prepared for this facility and is available for review.
[ ] A SWPPP will be prepared and ready for review by (enter date): ____/____/____.
B. MONITORING PROGRAM (check one)
[ ] A Monitoring Program has been prepared for this facility and is available for review.
[ ] A Monitoring Program will be prepared and ready for review by (enter date): ____/____/____.
C. PERMIT COMPLIANCE RESPONSIBILITY
Has a person been assigned responsibility for:
1. Inspecting the facility throughout the year to identify any potential pollution problems? .........................................................................____YES
2. Collecting storm water samples and having them analyzed?..................................................................................................................____YES
3. Preparing and submitting an annual report by July 1 of each year? .......................................................................................................____YES
4. Eliminating discharges other than storm water (such as equipment or vehicle wash-water) into the storm drain?................................____YES

____NO
____NO
____NO
____NO

SECTION VIII. SITE MAP
I HAVE ENCLOSED A SITE MAP

YES[

]

A new NOI submitted without a site map will be rejected.

SECTION IX. CERTIFICATION
"I certify under penalty of law that this document and all attachments were prepared under my direction and supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete.
I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment. In addition, I certify that I have
read the entire General Permit, including all attachments, and agree to comply with and be bound by all of the provisions, requirements, and prohibitions of the
permit, including the development and implementation of a Storm Water Pollution Pervention Plan and a Monitoring Program Plan will be complied with."
Printed Name:
Signature:
Title:

Date

Attachment 4
DEFINITIONS
1. "Best Management Practices" ("BMPs") means schedules of
activities, prohibitions of practices, maintenance
procedures, and other management practices to prevent or
reduce the pollution of waters of the United States. BMPs
also include treatment measures, operating procedures, and
practices to control facility site runoff, spillage or leaks,
sludge or waste disposal, or drainage from raw material
storage. BMPs may include any type of pollution prevention
and pollution control measure necessary to achieve compliance
with this General Permit.
2. Clean Water Act (CWA) means the Federal Water Pollution
Control Act enacted by Public Law 92-500 as amended by Public
Laws 95-217, 95-576, 96-483, and 97-117; 33 USC. 1251 et seq.
3. "Facility" is a collection of industrial processes
discharging storm water associated with industrial activity
within the property boundary or operational unit.
4. "Non-Storm Water Discharge" means any discharge to storm
sewer systems that is not composed entirely of storm water.
5. "Significant Materials" includes, but is not limited to: raw
materials; fuels; materials such as solvents, detergents, and
plastic pellets; finished materials such as metallic
products; raw materials used in food processing or
production; hazardous substances designated under
Section 101(14) of Comprehensive Environmental Response,
Compensation, and Liability Act (CERLCA); any chemical the
facility is required to report pursuant to Section 313 of
Title III of Superfund Amendments and Reauthorization Act
(SARA); fertilizers; pesticides; and waste products such as
ashes, slag, and sludge that have the potential to be
released with storm water discharges.
6. "Significant Quantities" is the volume, concentrations, or
mass of a pollutant that can cause or threaten to cause
pollution, contamination, or nuisance; adversely impact human
health or the environment; and/or cause or contribute to a
violation of any applicable water quality standards for the
receiving water.
7. "Significant Spills" includes, but is not limited to:
releases of oil or hazardous substances in excess of
reportable quantities under Section 311 of the CWA (see
40 CFR 110.10 and 117.21) or Section 102 of CERCLA (see
40 CFR 302.4).
8. "Storm water" means storm water runoff, snow melt runoff, and
storm water surface runoff and drainage. It excludes
infiltration and runoff from agricultural land.

-29. "Storm Water Associated with Industrial Activity" means the
discharge from any conveyance which is used for collecting
and conveying storm water and which is directly related to
manufacturing, processing, or raw materials storage areas at
an industrial plant. The term does not include discharges
from facilities or activities excluded from the NPDES
program. For the facilities identified in Categories 1
through 9 of Attachment 1 of this General Permit, the term
includes, but is not limited to, storm water discharges from
industrial plant yards; immediate access roads and rail lines
used or traveled by carriers of raw materials; manufactured
products, waste material, or by-products used or created by
the facility; material handling sites; refuse sites; sites
used for the application or disposal of process wastewaters
(as defined at 40 CFR Part 401); sites used for the storage
and maintenance of material handling equipment; sites used
for residual treatment, storage, or disposal; shipping and
receiving areas; manufacturing buildings; storage areas
(including tank farms) for raw materials, and intermediate
and finished products; and areas where industrial activity
has taken place in the past and significant materials remain
and are exposed to storm water.
For the facilities identified in Category 10 of Attachment 1
of this General Permit, the term only includes storm water
discharges from all areas listed in the previous sentence
where material handling equipment or activities, raw
materials, intermediate products, final products, waste
materials, by-products, or industrial machinery are exposed
to storm water.
Material handling activities include the: storage, loading
and unloading, transportation, or conveyance of any raw
material, intermediate product, finished product, by-product,
or waste product. The term excludes areas located on plant
lands separate from the plant's industrial activities, such
as office buildings and accompanying parking lots as long as
the drainage from the excluded areas is not mixed with storm
water drained from the above described areas. Industrial
facilities (including industrial facilities that are
federally, State, or municipally owned or operated that meet
the description of the facilities listed in this paragraph)
include those facilities designated under 40 CFR
122.26(a)(1)(v).

Attachment 5

ACRONYM LIST
BAT
BCT
BMPs
CERCLA
CFR
CWA
General Permit
GMP
NEC
NOI
NOT
NPDES
O&G
RCRA
Regional Water Board
RQ
SARA
SIC
SMCRA
SPCC
State Water Board
SWPPP
TOC
TSS
U.S. EPA
WDID
WDRs

Best Available Technology Economically
Achievable
Best Conventional Pollutant Control
Technology
Best Management Practices
Comprehensive Environmental Response,
Compensation, and Liability Act of 1980
(Federal Superfund)
Code of Federal Regulations
Clean Water Act
General Industrial Activities Storm Water
Permit
Group Monitoring Plan
No Exposure Certification
Notice of Intent
Notice of Termination
National Pollutant Discharge Elimination
System
Oil and Grease
Resource, Conservation, and Recovery Act
Regional Water Quality Control Board
Reportable Quantity
Superfund Amendments and Reauthorization
Act of 1986
Standard Industrial Classification
Surface Mining Control and Reclamation Act
Spill Prevention Control and
Countermeasures
State Water Resources Control Board
Storm Water Pollution Prevention Plan
Total Organic Carbon
Total Suspended Solids
U.S. Environmental Protection Agency
Waste Discharger Identification
Waste Discharge Requirements

Appendix B
Receipt of Notice of Intent

EDMUND G. BROWN JR.

MATTHEW RODRIQUEZ

State Water Resources Control Board

Approved Date: January 14, 2002
Andre Griggs
Taormina Industries Inc
PO Box 309
Anaheim CA 92815
RECEIPT OF YOUR NOTICE OF INTENT (NOI)
The State Water Resources Control Board (State Water Board) has received and processed your
NOI to comply with the terms of the General Permit to Discharger Storm Water Associated with
Industrial Activity. Accordingly, you are required to comply with the permit requirements.
The Waste Discharger Identification (WDID) number is: 8 36I017024 . Please use this number
in any future communication regarding this permit.

OPERATOR:
FACILITY INFORMATION:

COUNTY:
SIC/NAIC CODES:

FACILITY DESCRIPTION
Taormina Industries Inc
Inland Regional Material Recovery Facility and Transfer Station
2059 N Steel Rd
Colton
San Bernardino
4953

When the operator changes (i.e. the business was bought or transferred), a new NOI, site
map, and fee must be submitted by the new operator. As the previous operator, you are
required to submit a Notice of Termination (NOT) to the local Regional Water Board stating you
no longer own or operate the facility and coverage under the General Permit is not required.
Unless notified, you will continue and are responsible to pay the annual fee invoiced each
January.
If you have any questions regarding permit requirements, please contact your Regional Water
Board at 951-782-4130 . Please visit the storm water web site at
http://www.waterboards.ca.gov/water_issues/programs/stormwater/ to obtain an NOT and other
storm water related information and forms.
Sincerely,

Storm Water Section
Division of Water Quality
FELICIA MARCUS, CHAIR

THOMAS HOWARD, EXECUTIVE OFFICER

1001 I Street, PO Box 1977, Sacramento, California, 95812

www.waterboards.ca.gov, ph:1-866-563-3107, fax:[phone]

Appendix C
Example of Annual Report Forms

State of California
STATE WATER RESOURCES CONTROL BOARD

2012-2013

ANNUAL REPORT
FOR
STORM WATER DISCHARGES ASSOCIATED
WITH INDUSTRIAL ACTIVITIES

Reporting Period July 1, 2012 through June 30, 2013
An annual report is required to be submitted to your local Regional Water Quality Control Board
(Regional Board) by July 1 of each year. This document must be certified and signed, under penalty
of perjury, by the appropriate official of your company. Many of the Annual Report questions require an
explanation. Please provide explanations on a separate sheet as an attachment. Retain a copy of
the completed Annual Report for your records.
Please circle or highlight any information contained in Items A, B, and C below that is new or revised so
we can update our records. Please remember that a Notice of Termination and new Notice of Intent
are required whenever a facility operation is relocated or changes ownership.
If you have any questions, please contact your Regional Board Industrial Storm Water Permit Contact.
The names, telephone numbers and e-mail addresses of the Regional Board contacts, as well as the
Regional Board office addresses can be found at http://www.swrcb.ca.gov/stormwtr/contact.html. To
find your Regional Board information, match the first digit of your WDID number with the corresponding
number that appears in parenthesis on the first line of each Regional Board office.
GENERAL INFORMATION:
A. Facility Information:

Facility WDID No:

Facility Business Name:

Contact Person:

Physical Address:

e-mail:

City:

CA Zip:

Phone:

Standard Industrial Classification (SIC) Code(s):

B. Facility Operator Information:
Operator Name:

Contact Person:

Mailing Address:

e-mail:

City:

State:

Zip:

Phone:

C. Facility Billing Information:
Operator Name:

Contact Person:

Mailing Address:

e-mail:

City:

State:

Zip:

Phone: ______________

2012-2013

ANNUAL REPORT
SPECIFIC INFORMATION
MONITORING AND REPORTING PROGRAM
D.

SAMPLING AND ANALYSIS EXEMPTIONS AND REDUCTIONS
1.

For the reporting period, was your facility exempt from collecting and analyzing samples from two storm events in
accordance with sections B.12 or 15 of the General Permit?
YES

2.

NO

Go to Item D.2

Go to Section E

Indicate the reason your facility is exempt from collecting and analyzing samples from two storm events. Attach a
copy of the first page of the appropriate certification if you check boxes ii, iii, iv, or v.
i.

Participating in an Approved Group Monitoring Plan

Group Name :

ii.

Submitted No Exposure Certification (NEC)

Date Submitted:

Re-evaluation Date:

_

Does facility continue to satisfy NEC conditions?
iii.

YES

Submitted Sampling Reduction Certification (SRC)

Date Submitted:

Re-evaluation Date:

_

Does facility continue to satisfy SRC conditions?
iv.

Received Regional Board Certification

v.

3.

Received Local Agency Certification

E.

YES

NO

Certification Date:
Cetification Date:

If you checked boxes i or iii above, were you scheduled to sample one storm event during the reporting year?
YES

4.

NO

NO

Go to Section E

Go to Section F

If you checked boxes ii, iv, or v, go to Section F.

SAMPLING AND ANALYSIS RESULTS
If less than 2, attach explanation (if you checked
item D.2.i or iii. above, only attach explanation if you
answer “0”).

1.

How many storm events did you sample?

2.

Did you collect storm water samples from the first storm of the wet season that produced a discharge during
scheduled facility operating hours? (Section B.5 of the General Permit)
YES

3.

NO,

How many storm water discharge locations are at your facility?

-2-

attach explanation (Please note that if
you do not sample the first storm event, you are
still required to sample 2 storm events)

4.

For each storm event sampled, did you collect and analyze a
sample from each of the facilitys’ storm water discharge locations?

YES, go to Item E.6

5.

Was sample collection or analysis reduced in accordance
with Section B.7.d of the General Permit?

YES

NO, attach explanation

NO

If “YES”, attach documentation supporting your determination
that two or more drainage areas are substantially identical.
Date facility’s drainage areas were last evaluated

_

6.

Were all samples collected during the first hour of discharge?

YES

NO, attach explanation

7.

Was all storm water sampling preceded by three (3)
working days without a storm water discharge?

YES

NO, attach explanation

8.

Were there any discharges of stormwater that had been
temporarily stored or contained? (such as from a pond)

YES

NO, go to Item E.10

YES

NO, attach explanation

9.

Did you collect and analyze samples of temporarily stored or
contained storm water discharges from two storm events?
(or one storm event if you checked item D.2.i or iii. above)

10. Section B.5. of the General Permit requires you to analyze storm water samples for pH, Total Suspended Solids (TSS),
Specific Conductance (SC), Total Organic Carbon (TOC) or Oil and Grease (O&G), other pollutants likely to be present
in storm water discharges in significant quantities, and analytical parameters listed in Table D of the General Permit.
a.

Does Table D contain any additional parameters
related to your facility's SIC code(s)?

YES

NO, Go to Item E.11

b.

Did you analyze all storm water samples for the
applicable parameters listed in Table D?

YES

NO

c.

If you did not analyze all storm water samples for the
applicable Table D parameters, check one of the
following reasons:
In prior sampling years, the parameter(s) have not been detected in significant quantities from two
consecutive sampling events. Attach explanation
The parameter(s) is not likely to be present in storm water discharges and authorized non-storm water
discharges in significant quantities based upon the facility operator’s evaluation. Attach explanation
Other. Attach explanation

11. For each storm event sampled, attach a copy of the laboratory analytical reports and report the sampling and analysis
results using Form 1 or its equivalent. The following must be provided for each sample collected:
•
•
•
•
•

•
•
•
•
•

Date and time of sample collection
Name and title of sampler.
Parameters tested.
Name of analytical testing laboratory.
Discharge location identification.

-3-

Testing results.
Test methods used.
Test detection limits.
Date of testing.
Copies of the laboratory analytical results.

F.

QUARTERLY VISUAL OBSERVATIONS
1.

Authorized Non-Storm Water Discharges
Section B.3.b of the General Permit requires quarterly visual observations of all authorized non-storm water
discharges and their sources.
a.

Do authorized non-storm water discharges occur at your facility?
YES

b.

NO

Go to Item F.2

Indicate whether you visually observed all authorized non-storm water discharges and their sources
during the quarters when they were discharged. Attach an explanation for any “NO” answers. Indicate
“N/A” for quarters without any authorized non-storm water discharges.
July -September

NO

N/A

October-December

YES

NO

N/A

January-March
c.

YES
YES

NO

N/A

April-June

YES

NO

N/A

Use Form 2 to report quarterly visual observations of authorized non-storm water discharges or
provide the following information.
i.
ii.
iii.
iv.
v.
vi.

2.

name of each authorized non-storm water discharge
date and time of observation
source and location of each authorized non-storm water discharge
characteristics of the discharge at its source and impacted drainage area/discharge location
name, title, and signature of observer
any new or revised BMPs necessary to reduce or prevent pollutants in authorized non-storm water
discharges. Provide new or revised BMP implementation date.

Unauthorized Non-Storm Water Discharges
Section B.3.a of the General Permit requires quarterly visual observations of all drainage areas to detect the
presence of unauthorized non-storm water discharges and their sources.
a.

Indicate whether you visually observed all drainage areas to detect the presence of unauthorized nonstorm water discharges and their sources. Attach an explanation for any “NO” answers.
July -September

NO

October-December

YES

NO

January-March
b.

YES
YES

NO

April-June

YES

NO

Based upon the quarterly visual observations, were any unauthorized non-storm water discharges detected?
YES

c.

NO

Have each of the unauthorized non-storm water discharges been eliminated or permitted?
YES

d.

Go to item F.2.d

NO

Attach explanation

Use Form 3 to report quarterly unauthorized non-storm water discharge visual observations or provide the
following information.
i.
ii.
iii.
iv.
v.
vi.

name of each unauthorized non-storm water discharge.
date and time of observation.
source and location of each unauthorized non-storm water discharge.
characteristics of the discharge at its source and impacted drainage area/discharge location.
name, title, and signature of observer.
any corrective actions necessary to eliminate the source of each unauthorized non-storm water
discharge and to clean impacted drainage areas. Provide date unauthorized non-storm water
discharge(s) was eliminated or scheduled to be eliminated.

-4-

G. MONTHLY WET SEASON VISUAL OBSERVATIONS
Section B.4.a of the General Permit requires you to conduct monthly visual observations of storm water
discharges at all storm water discharge locations during the wet season. These observations shall occur during
the first hour of discharge or, in the case of temporarily stored or contained storm water, at the time of discharge.
1.

Indicate below whether monthly visual observations of storm water discharges occurred at all discharge
locations. Attach an explanation for any “NO” answers. Include in this explanation whether any eligible
storm events occurred during scheduled facility operating hours that did not result in a storm water
discharge, and provide the date, time, name and title of the person who observed that there was no storm
water discharge.
October

YES

NO

February

November

2.

April

January

NO

March

December

YES

May

Report monthly wet season visual observations using Form 4 or provide the following information.
a.
b.
c.
d.

date, time, and location of observation
name and title of observer
characteristics of the discharge (i.e., odor, color, etc.) and source of any pollutants observed.
any new or revised BMPs necessary to reduce or prevent pollutants in storm water discharges.
Provide new or revised BMP implementation date.

ANNUAL COMPREHENSIVE SITE COMPLIANCE EVALUATION (ACSCE)
H.

ACSCE CHECKLIST
Section A.9 of the General Permit requires the facility operator to conduct one ACSCE in each reporting period (July 1June 30). Evaluations must be conducted within 8-16 months of each other. The SWPPP and monitoring program
shall be revised and implemented, as necessary, within 90 days of the evaluation. The checklist below includes the
minimum steps necessary to complete a ACSCE. Indicate whether you have performed each step below. Attach an
explanation for any “NO” answers.
1.

Have you inspected all potential pollutant sources and industrial activities areas?
The following areas should be inspected:
•
•
•
•
•
•
•

areas where spills and leaks have occured during
the last year.
outdoor wash and rinse areas.
process/manufacturing areas.
loading, unloading, and transfer areas.
waste storage/disposal areas.
dust/particulate generating areas.
erosion areas.

•
•
•
•
•
•

•

YES

NO

building repair, remodeling, and construction
material storage areas
vehicle/equipment storage areas
truck parking and access areas
rooftop equipment areas
vehicle fueling/maintenance areas
non-storm water discharge generating areas

2.

Have you reviewed your SWPPP to assure that its BMPs address existing
potential pollutant sources and industrial activities areas?

YES

NO

3.

Have you inspected the entire facility to verify that the SWPPP’s site map,
is up-to-date? The following site map items should be verified:

YES

NO

•
•
•

facility boundaries
outline of all storm water drainage areas
areas impacted by run-on

•
•
•

-5-

storm water discharges locations
storm water collection and conveyance system
structural control measures such as catch basins,
berms, containment areas, oil/water separators, etc.

4.

Have you reviewed all General Permit compliance records generated
since the last annual evaluation?

YES

NO

The following records should be reviewed:
•
•
•
5.

quarterly authorized non-storm water
discharge visual observations
monthly storm water discharge
visual observation
records of spills/leaks and associated
clean-up/response activities

•
•

•

quarterly unauthorized non-storm
water discharge visual observations
Sampling and Analysis records
preventative maintenance inspection
and maintenance records

Have you reviewed the major elements of the SWPPP to assure
compliance with the General Permit?

YES

NO

The following SWPPP items should be reviewed:
•
•
•
6.

pollution prevention team
list of significant materials
description of potential pollutant sources

•
•

assessment of potential pollutant sources
identification and description of the BMPs to be
implemented for each potential pollutant source

Have you reviewed your SWPPP to assure that a) the BMPs are adequate
in reducing or preventing pollutants in storm water discharges and authorized
non-storm water discharges, and b) the BMPs are being implemented?

YES

NO

The following BMP categories should be reviewed:
•
•
•
•
•
7.

I.

good housekeeping practices
spill response
employee training
erosion control
quality assurance

•
•
•

•

preventative maintenance
material handling and storage practices
waste handling/storage
structural BMPs

Has all material handling equipment and equipment needed to
implement the SWPPP been inspected?

YES

NO

ACSCE EVALUATION REPORT
The facility operator is required to provide an evaluation report that includes:
•
•
•

identification of personnel performing the evaluation
the date(s) of the evaluation
necessary SWPPP revisions

•
•

schedule for implementing SWPPP revisions
any incidents of non-compliance and the corrective
actions taken.

Use Form 5 to report the results of your evaluation or develop an equivalent form.
J.

ACSCE CERTIFICATION
The facility operator is required to certify compliance with the Industrial Activities Storm Water General Permit. To
certify compliance, both the SWPPP and Monitoring Program must be up to date and be fully implemented.
Based upon your ACSCE, do you certify compliance with the Industrial
Activities Storm Water General Permit?

YES

If you answered “NO” attach an explanation to the ACSCE Evaluation Report why you are not in
compliance with the Industrial Activities Storm Water General Permit.

-6-

NO

ATTACHMENT SUMMARY
Answer the questions below to help you determine what should be attached to this annual report. Answer NA (Not
Applicable) to questions 2-4 if you are not required to provide those attachments.
1. Have you attached Forms 1,2,3,4, and 5 or their equivalent?

YES (Mandatory)

2. If you conducted sampling and analysis, have you attached the
laboratory analytical reports?

YES

NO

NA

YES

NO

NA

YES

NO

NA

3. If you checked box II, III, IV, or V in item D.2 of this Annual
Report, have you attached the first page of the
appropriate certifications?
4. Have you attached an explanation for each “NO” answer in
items E.1, E.2, E.5-E.7, E.9, E.10.c, F.1.b, F.2.a, F.2.c,
G.1, H.1-H.7, or J?

ANNUAL REPORT CERTIFICATION
I am duly authorized to sign reports required by the INDUSTRIAL ACTIVITIES STORM WATER GENERAL
PERMIT (see Standard Provision C.9) and I certify under penalty of law that this document and all attachments
were prepared under my direction or supervision in accordance with a system designed to ensure that qualified
personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons
who manage the system, or those person directly responsible for gathering the information, the information
submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there are
significant penalties for submitting false information, including the possibility of fine and imprisonment for
knowing violations.
Printed Name:
Signature:

Date:

Title:

-7-

2012-2013

ANNUAL REPORT
DESCRIPTION OF BASIC ANALYTICAL PARAMETERS
The Industrial Activities Storm Water General Permit (General Permit) requires you to analyze storm water samples for at least
four parameters. These are pH, Total Suspended Solids (TSS), Specific Conductance (SC),and Total Organic Carbon (TOC).
Oil and Grease (O&G) may be substituted for TOC. In addition, you must monitor for any other pollutants which you believe to be
present in your storm water discharge as a result of industrial activity and analytical parameters listed in Table D of the General
Permit. There are no numeric limitations for the parameters you test for.
The four parameters which the General Permit requires to be tested are considered indicator parameters. In other words,
regardless of what type of facility you operate, these parameters are nonspecific and general enough to usually provide some
indication whether pollutants are present in your storm water discharge. The following briefly explains what each of these
parameters mean:
pH is a numeric measure of the hydrogen-ion concentration. The neutral, or acceptable, range is within 6.5 to 8.5. At values less
than 6.5, the water is considered acidic; above 8.5 it is considered alkaline or basic. An example of an acidic substance is vinegar,
and a alkaline or basic substance is liquid antacid. Pure rainfall tends to have a pH of a little less than 7. There may be sources of
materials or industrial activities which could increase or decrease the pH of your storm water discharge. If the pH levels of your
storm water discharge are high or low, you should conduct a thorough evaluation of all potential pollutant sources at your site.
Total Suspended Solids (TSS) is a measure of the undissolved solids that are present in your storm water discharge. Sources
of TSS include sediment from erosion of exposed land, and dirt from impervious (i.e. paved) areas. Sediment by itself can be very
toxic to aquatic life because it covers feeding and breeding grounds, and can smother organisms living on the bottom of a water
body. Toxic chemicals and other pollutants also adhere to sediment particles. This provides a medium by which toxic or other
pollutants end up in our water ways and ultimately in human and aquatic life. TSS levels vary in runoff from undisturbed land. It
has been shown that TSS levels increase significantly due to land development.
Specific Conductance (SC) is a numerical expression of the ability of the water to carry an electric current. SC can be used to
assess the degree of mineralization, salinity, or estimate the total dissolved solids concentration of a water sample. Because of
air pollution, most rain water has a SC a little above zero. A high SC could affect the usability of waters for drinking, irrigation, and
other commercial or industrial use.
Total Organic Carbon (TOC) is a measure of the total organic matter present in water. (All organic matter contains carbon)
This test is sensitive and able to detect small concentrations of organic matter. Organic matter is naturally occurring in animals,
plants, and man. Organic matter may also be man made (so called synthetic organics). Synthetic organics include pesticides,
fuels, solvents, and paints. Natural organic matter utilizes the oxygen in a receiving water to biodegrade. Too much organic
matter could place a significant oxygen demand on the water, and possibly impact its quality. Synthetic organics either do not
biodegrade or biodegrade very slowly. Synthetic organics are a source of toxic chemicals that can have adverse affects at very
low concentrations. Some of these chemicals bioaccumulate in aquatic life. If your levels of TOC are high, you should evaluate
all sources of natural or synthetic organics you may use at your site.
Oil and Grease (O&G) is a measure of the amount of oil and grease present in your storm water discharge. At very low
concentrations, O&G can cause a sheen (that floating "rainbow") on the surface of water (1 qt. of oil can pollute 250,000 gallons of
water). O&G can adversely affect aquatic life and create unsightly floating material and film on water, thus making it undrinkable.
Sources of O&G include maintenance shops, vehicles, machines and roadways.
If you have any questions regarding whether or not your constituent concentrations are too high, please contact your local
Regional Board office. The United States Environmental Protection Agency (USEPA) has published stormwater discharge
benchmarks for a number of parameters. These benchmarks may be helpful when evaluating whether additional BMPs are
appropriate. These benchmarks can be accessed at our website at http://www.swrcb.ca.gov. It is contained in the Sampling and
Analysis Reduction Certification.

See Storm Water Contacts at
http://www.waterboards.ca.gov/water_issues/programs/stormwater/contact.shtml

-8-

2012-2013

ANNUAL REPORT

SIDE A

FORM 1-SAMPLING & ANALYSIS RESULTS
FIRST STORM EVENT
•
•

•

If analytical results are less than the detection limit (or non detectable), show the value as less than
the numerical value of the detection limit (example: <.05)
If you did not analyze for a required parameter, do not report “0”. Instead, leave the appropriate box blank

NAME OF PERSON COLLECTING SAMPLE(S):

_

When analysis is done using portable analysis (such as portable pH meters, SC
meters, etc.), indicate “PA” in the appropriate test method used box.
Make additional copies of this form as necessary.

•

TITLE:

_

SIGNATURE:

_

ANALYTICAL RESULTS
For First Storm Event

DESCRIBE
DISCHARGE
LOCATION
Example: NW Out Fall

DATE/TIME
OF SAMPLE
COLLECTION

TIME
DISCHARGE
STARTED

OTHER PARAMETERS

BASIC PARAMETERS

pH
_

______

_

______

_

______

_

mg/l

umho/cm

mg/l

mg/l

AM
PM

_
AM
PM

TOC

AM
PM

_
AM
PM

O&G

AM
PM

_
AM
PM

SC

pH Units

______

_
AM
PM

TSS

AM
PM

TEST REPORTING UNITS:
TEST METHOD DETECTION LIMIT:
TEST METHOD USED:
ANALYZED BY (SELF/LAB):
TSS - Total Suspended Solids

SC - Specific Conductance

O&G - Oil & Grease

TOC - Total Organic Carbon

2012-2013

ANNUAL REPORT

SIDE B

FORM 1-SAMPLING & ANALYSIS RESULTS
SECOND STORM EVENT
•
•

•

If analytical results are less than the detection limit (or non detectable), show the value as less than
the numerical value of the detection limit (example: <.05)
If you did not analyze for a required parameter, do not report “0”. Instead, leave the appropriate box blank

NAME OF PERSON COLLECTING SAMPLE(S):

_

When analysis is done using portable analysis (such as portable pH meters, SC
meters, etc.), indicate “PA” in the appropriate test method used box.
Make additional copies of this form as necessary.

•

TITLE:

_

SIGNATURE:

_

ANALYTICAL RESULTS
For First Storm Event

DESCRIBE
DISCHARGE
LOCATION
Example: NW Out Fall

DATE/TIME
OF SAMPLE
COLLECTION

TIME
DISCHARGE
STARTED

OTHER PARAMETERS

BASIC PARAMETERS

pH
_

______

_

______

_

______

_

mg/l

umho/cm

mg/l

mg/l

AM
PM

_
AM
PM

TOC

AM
PM

_
AM
PM

O&G

AM
PM

_
AM
PM

SC

pH Units

______

_
AM
PM

TSS

AM
PM

TEST REPORTING UNITS:
TEST METHOD DETECTION LIMIT:
TEST METHOD USED:
ANALYZED BY (SELF/LAB):
TSS - Total Suspended Solids

SC - Specific Conductance

O&G - Oil & Grease

TOC - Total Organic Carbon

2012-2013

ANNUAL REPORT

SIDE A

FORM 2-QUARTERLY VISUAL OBSERVATIONS OF AUTHORIZED
NON-STORM WATER DISCHARGES (NSWDs)
•
•

Quarterly dry weather visual observations are required of each authorized NSWD.
Observe each authorized NSWD source, impacted drainage area, and
discharge location.

QUARTER:

Observers Name:

_

Signature:

_

Observers Name:

_

Title:

_

Signature:

_

Observers Name:

_

Title:

_

Signature:

_

Observers Name:

_

Title:

_

Signature:

_

JULY-SEPT.
DATE:
_
QUARTER:
OCT.-DEC.
DATE:
_
QUARTER:
JAN.-MARCH
DATE:
_
QUARTER:
APRIL-JUNE
DATE:
_

•

Authorized NSWDs must meet the conditions provided in Section D (pages 5-6),
of the General Permit.
Make additional copies of this form as necessary.

_

Title:

•

WERE ANY AUTHORIZED NSWDs
DISCHARGED DURING THIS QUARTER?

WERE ANY AUTHORIZED NSWDs
DISCHARGED DURING THIS QUARTER?

WERE ANY AUTHORIZED NSWDs
DISCHARGED DURING THIS QUARTER?

WERE ANY AUTHORIZED NSWDs
DISCHARGED DURING THIS QUARTER?

YES
NO

YES
NO

If YES, complete
reverse side of
this form.

If YES, complete
reverse side of
this form.

YES

If YES, complete
reverse side of
NO this form.

YES

If YES, complete
reverse side of
NO this form.

2012-2013

ANNUAL REPORT
FORM 2-QUARTERLY VISUAL OBSERVATIONS OF AUTHORIZED
NON-STORM WATER DISCHARGES (NSWDs)
DATE /TIME OF
OBSERVATION

SOURCE AND
LOCATION OF
AUTHORIZED
NSWD
EXAMPLE:
Air conditioner Units
on Building C

_
AM
PM
_
AM
PM
_
AM
PM
_
AM
PM
_
AM
PM

NAME OF
AUTHORIZED
NSWD
EXAMPLE:
Air conditioner
condensate

DESCRIBE AUTHORIZED NSWD
CHARACTERISTICS

Indicate whether authorized NSWD is clear, cloudy, or
discolored, causing staining, contains floating objects
or an oil sheen, has odors, etc.

At the NSWD
Source

At the NSWD Drainage
Area and Discharge
Location

SIDE B

DESCRIBE ANY REVISED OR NEW
BMPs AND PROVIDE THEIR
IMPLEMENTATION DATE

2012-2013

ANNUAL REPORT

SIDE A

FORM 3-QUARTERLY VISUAL OBSERVATIONS OF UNAUTHORIZED
NON-STORM WATER DISCHARGES (NSWDs)
•
•
•
•
•
•

Unauthorized NSWDs are discharges (such as wash or rinse waters) that do not meet the conditions provided in
Section D (pages 5-6) of the General Permit.
Quarterly visual observations are required to observe current and detect prior unauthorized NSWDs.
Quarterly visual observations are required during dry weather and at all facility drainage areas.
Each unauthorized NSWD source, impacted drainage area, and discharge location must be identified and observed.
Unauthorized NSWDs that can not be eliminated within 90 days of observation must be reported to the Regional Board in accordance
with Section A.10.e of the General Permit.
Make additional copies of this form as necessary.

QUARTER: JULY-SEPT.
DATE/TIME OF
OBSERVATIONS

AM
PM

QUARTER: OCT.-DEC.
DATE/TIME OF
OBSERVATIONS

AM
PM

QUARTER: JAN.-MARCH
DATE/TIME OF
OBSERVATIONS

AM
PM

QUARTER: APRIL-JUNE
DATE/TIME OF
OBSERVATIONS

AM
PM

Observers Name:

_

Title:

_

Signature:

_

Observers Name:

_

Title:

_

Signature:

_

Observers Name:

_

Title:

_

Signature:

_

Observers Name:

_

Title:

_

Signature:

_

WERE UNAUTHORIZED
NSWDs OBSERVED?

YES

NO

WERE THERE INDICATIONS OF
PRIOR UNAUTHORIZED NSWDs?

YES

NO

WERE UNAUTHORIZED
NSWDs OBSERVED?

YES

NO

WERE THERE INDICATIONS OF
PRIOR UNAUTHORIZED NSWDs?

YES

NO

WERE UNAUTHORIZED
NSWDs OBSERVED?

YES

NO

WERE THERE INDICATIONS OF
PRIOR UNAUTHORIZED NSWDs?

YES

NO

WERE UNAUTHORIZED
NSWDs OBSERVED?

YES

NO

WERE THERE INDICATIONS OF
PRIOR UNAUTHORIZED NSWDs?

YES

NO

If YES to
either
question,
complete
reverse
side.
If YES to
either
question,
complete
reverse
side.
If YES to
either
question,
complete
reverse
side.
If YES to
either
question,
complete
reverse
side.

2012-2013

ANNUAL REPORT
FORM 3 QUARTERLY VISUAL OBSERVATIONS OF UNAUTHORIZED
NON-STORM WATER DISCHARGES (NSWDs)
OBSERVATION
DATE
(FROM
REVERSE SIDE)

NAME OF
UNAUTHORIZED
NSWD

EXAMPLE:
Vehicle Wash
Water

_
AM
PM
_
AM
PM
_
AM
PM
_
AM
PM

SOURCE AND
LOCATION
OF
UNAUTHORIZED
NSWD
EXAMPLE:
NW Corner of
Parking Lot

DESCRIBE UNAUTHORIZED NSWD
CHARACTERISTICS
Indicate whether unauthorized NSWD is clear, cloudy,
discolored, causing stains; contains floating objects or an
oil
sheen, has odors, etc.
AT THE UNAUTHORIZED
NSWD SOURCE

AT THE UNAUTHORIZED
NSWD AREA AND
DISCHARGE LOCATION

SIDE B

DESCRIBE CORRECTIVE
ACTIONS TO ELIMINATE
UNAUTHORIZED NSWD AND
TO CLEAN IMPACTED
DRAINAGE AREAS.
PROVIDE UNAUTHORIZED
NSWD ELIMINATION DATE.

2012-2013

ANNUAL REPORT

FORM 4-MONTHLY VISUAL OBSERVATIONS OF

SIDE A

STORM WATER DISCHARGES
•
•
•

•
•
•

Storm water discharge visual observations are required for at least one storm
event per month between October 1 and May 31.
Visual observations must be conducted during the first hour of discharge
at all discharge locations.
Discharges of temporarily stored or contained storm water must be observed
at the time of discharge.

Observation Date: October

_

Title:
Signature:

P.M.
A.M.

P.M.
A.M.

YES

NO

YES

YES

NO

#3

NO

#4

Drainage Location Description

_

P.M.
A.M.

Time Discharge Began
Were Pollutants Observed
(If yes, complete reverse side)

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.
YES

P.M.
A.M.
P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

NO

YES

#1

2012

NO

YES

#2

YES

NO

#3

NO

#4

Drainage Location Description
P.M.
A.M.

Observation Time
_
_

Time Discharge Began
Were Pollutants Observed
(If yes, complete reverse side)

YES

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

_

Signature:

P.M.
A.M.

#2

_

Title:

P.M.
A.M.

NO

Observation Time

Observers Name:

Observers Name:

YES

P.M.
A.M.

P.M.
A.M.

_

Signature:

Observation Date: January

Time Discharge Began
Were Pollutants Observed
(If yes, complete reverse side)

P.M.
A.M.

#1

2012

Title:

#4

P.M.
A.M.

_

Observers Name:

#3

Drainage Location Description
Observation Time

Signature:

Observation Date: December

#2

_

Title:

Observation Date: November

#1

2012

Observers Name:

Indicate “None” in the first column of this form if you did not conduct a monthly visual observation.
Make additional copies of this form as necessary.
Until a monthly visual observation is made, record any eligible storm events that do not result in a storm water
discharge and note the date, time, name, and title of who observed there was no storm water discharge.

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

NO

YES

#1

2013

NO

YES

#2

YES

NO

#3

NO

#4

Drainage Location Description
P.M.
A.M.

Observation Time
_
_

Time Discharge Began
Were Pollutants Observed
(If yes, complete reverse side)

YES

NO

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

_

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

YES

NO

YES

NO

YES

NO

2012-2013

ANNUAL REPORT
FORM 4-MONTHLY VISUAL OBSERVATIONS OF
STORM WATER DISCHARGES
DATE/TIME OF
OBSERVATION
(From Reverse Side)

DRAINAGE AREA
DESCRIPTION
EXAMPLE: Discharge from
material storage Area #2

_
AM
PM
_
AM
PM
_
AM
PM
_
AM
PM
_
AM
PM

DESCRIBE STORM WATER DISCHARGE
CHARACTERISTICS
Indicate whether storm water discharge is clear,
cloudy, or discolored; causing staining; containing
floating objects or an oil sheen, has odors, etc.

IDENTIFY AND DESCRIBE SOURCE(S) OF
POLLUTANTS
EXAMPLE: Oil sheen caused by oil dripped by
trucks in vehicle maintenance area.

SIDE B

DESCRIBE ANY REVISED OR NEW
BMPs AND THEIR DATE OF
IMPLEMENTATION

2012-2013

ANNUAL REPORT

FORM 4 (Continued)-MONTHLY VISUAL OBSERVATIONS OF

SIDE A

STORM WATER DISCHARGES
•
•
•

•
•
•

Storm water discharge visual observations are required for at least one storm
event per month between October 1 and May 31.
Visual observations must be conducted during the first hour of discharge
at all discharge locations.
Discharges of temporarily stored or contained storm water must be observed
at the time of discharge.

Observation Date: February

_

Title:
Signature:

P.M.
A.M.

P.M.
A.M.

YES

NO

YES

YES

NO

#3

NO

#4

Drainage Location Description

_

P.M.
A.M.

Time Discharge Began
Were Pollutants Observed
(If yes, complete reverse side)

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.
YES

P.M.
A.M.
P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

NO

YES

#1

2013

NO

YES

#2

YES

NO

#3

NO

#4

Drainage Location Description
P.M.
A.M.

Observation Time
_
_

Time Discharge Began
Were Pollutants Observed
(If yes, complete reverse side)

YES

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

_

Signature:

P.M.
A.M.

#2

_

Title:

P.M.
A.M.

NO

Observation Time

Observers Name:

Observers Name:

YES

P.M.
A.M.

P.M.
A.M.

_

Signature:

Observation Date: May

Time Discharge Began
Were Pollutants Observed
(If yes, complete reverse side)

P.M.
A.M.

#1

2013

Title:

#4

P.M.
A.M.

_

Observers Name:

#3

Drainage Location Description
Observation Time

Signature:

Observation Date: April

#2

_

Title:

Observation Date: March

#1

2013

Observers Name:

Indicate “None” in the first column of this form if you did not conduct a monthly visual observation.
Make additional copies of this form as necessary.
Until a monthly visual observation is made, record any eligible storm events that do not result in a storm water
discharge and note the date, time, name, and title of who observed there was no storm water discharge.

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

NO

YES

#1

2013

NO

YES

#2

YES

NO

#3

NO

#4

Drainage Location Description
P.M.
A.M.

Observation Time
_
_

Time Discharge Began
Were Pollutants Observed
(If yes, complete reverse side)

YES

NO

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

_

P.M.
A.M.

P.M.
A.M.

P.M.
A.M.

YES

NO

YES

NO

YES

NO

2012-2013

ANNUAL REPORT
FORM 4 (Continued)-MONTHLY VISUAL OBSERVATIONS OF
STORM WATER DISCHARGES
DATE/TIME OF
OBSERVATION
(From Reverse Side)

DRAINAGE AREA
DESCRIPTION
EXAMPLE: Discharge from
material storage Area #2

_
AM
PM
_
AM
PM
_
AM
PM
_
AM
PM
_
AM
PM

DESCRIBE STORM WATER DISCHARGE
CHARACTERISTICS
Indicate whether storm water discharge is clear,
cloudy, or discolored; causing staining; containing
floating objects or an oil sheen, has odors, etc.

IDENTIFY AND DESCRIBE
SOURCE(S) OF POLLUTANTS
EXAMPLE: Oil sheen caused by oil
dripped by trucks in vehicle maintenance
area.

SIDE B

DESCRIBE ANY REVISED OR NEW BMPs AND
THEIR DATE OF IMPLEMENTATION

2012-2013

ANNUAL REPORT

SIDE A

FORM 5-ANNUAL COMPREHENSIVE SITE COMPLIANCE EVALUATION
POTENTIAL POLLUTANT SOURCE/INDUSTRIAL ACTIVITY BMP STATUS
EVALUATION DATE:

INSPECTOR NAME:

POTENTIAL POLLUTANT
SOURCE/INDUSTRIAL ACTIVITY AREA
(as identified in your SWPPP)

TITLE:

YES
NO

HAVE ANY BMPs NOT BEEN
FULLY IMPLEMENTED?

YES
NO

YES
NO

ARE ADDITIONAL/REVISED
BMPs NECESSARY?

YES
NO

Describe additional/revised BMPs or
corrective actions and their date(s) of
implementation

Describe deficiencies in BMPs or BMP
implementation

Describe additional/revised BMPs or
corrective actions and their date(s) of
implementation

Describe deficiencies in BMPs or BMP
implementation

Describe additional/revised BMPs or
corrective actions and their date(s) of
implementation

Describe deficiencies in BMPs or BMP
implementation

Describe additional/revised BMPs or
corrective actions and their date(s) of
implementation

YES
NO

HAVE ANY BMPs NOT BEEN
FULLY IMPLEMENTED?

Describe deficiencies in BMPs or BMP
implementation

YES
NO

ARE ADDITIONAL/REVISED
BMPs NECESSARY?
POTENTIAL POLLUTANT
SOURCE/INDUSTRIAL ACTIVITY AREA
(as identified in your SWPPP)

HAVE ANY BMPs NOT BEEN
FULLY IMPLEMENTED?

If yes, to either
question, complete
the next two
columns of this
form

YES
NO

ARE ADDITIONAL/REVISED
BMPs NECESSARY?
POTENTIAL POLLUTANT
SOURCE/INDUSTRIAL ACTIVITY AREA
(as identified in your SWPPP)

YES
NO

ARE ADDITIONAL/REVISED
BMPs NECESSARY?
POTENTIAL POLLUTANT
SOURCE/INDUSTRIAL ACTIVITY AREA
(as identified in your SWPPP)

HAVE ANY BMPs NOT BEEN
FULLY IMPLEMENTED?

SIGNATURE:

If yes, to either
question, complete
the next two
columns of this
form

If yes, to either
question, complete
the next two
columns of this
form

If yes, to either
question, complete
the next two
columns of this
form

2012-2013

ANNUAL REPORT
FORM 5 (Continued)-ANNUAL COMPREHENSIVE SITE COMPLIANCE EVALUATION
POTENTIAL POLLUTANT SOURCE/INDUSTRIAL ACTIVITY BMP STATUS
EVALUATION DATE:

INSPECTOR NAME:

POTENTIAL POLLUTANT
SOURCE/INDUSTRIAL ACTIVITY AREA
(as identified in your SWPPP)

TITLE:

HAVE ANY BMPs NOT BEEN
FULLY IMPLEMENTED?

YES
NO

YES
NO

HAVE ANY BMPs NOT BEEN
FULLY IMPLEMENTED?

YES
NO

ARE ADDITIONAL/REVISED
BMPs NECESSARY?

POTENTIAL POLLUTANT
SOURCE/INDUSTRIAL ACTIVITY AREA
(as identified in your SWPPP)

YES
NO

ARE ADDITIONAL/REVISED
BMPs NECESSARY?
POTENTIAL POLLUTANT
SOURCE/INDUSTRIAL ACTIVITY AREA
(as identified in your SWPPP)

YES
NO

ARE ADDITIONAL/REVISED
BMPs NECESSARY?

POTENTIAL POLLUTANT
SOURCE/INDUSTRIAL ACTIVITY AREA
(as identified in your SWPPP)

HAVE ANY BMPs NOT BEEN
FULLY IMPLEMENTED?

YES
NO

HAVE ANY BMPs NOT BEEN
FULLY IMPLEMENTED?

YES
NO

ARE ADDITIONAL/REVISED
BMPs NECESSARY?

YES
NO

If yes, to either
question,
complete the
next two
columns of this
form

If yes, to either
question,
complete the
next two
columns of this
form

If yes, to either
question,
complete the
next two
columns of this
form

If yes, to either
question,
complete the
next two
columns of this
form

SIDE B

SIGNATURE:
Describe deficiencies in BMPs or BMP
implementation

Describe additional/revised BMPs or
corrective actions and their date(s) of
implementation

Describe deficiencies in BMPs or BMP
implementation

Describe additional/revised BMPs or
corrective actions and their date(s) of
implementation

Describe deficiencies in BMPs or BMP
implementation

Describe additional/revised BMPs or
corrective actions and their date(s) of
implementation

Describe deficiencies in BMPs or BMP
implementation

Describe additional/revised BMPs or
corrective actions and their date(s) of
implementation

Appendix D
Example of Visual Observation Forms

STORM WATER POLLUTION PREVENTION PLAN

QUARTERLY DRY (NON-STORMWATER)
VISUAL OBSERVATION FORM
Facility Address:

Inland Regional Material Recovery Facility & Transfer Station
2059 East Steel Road
Colton, CA 92324

Observer Name(s):_________________________________ Title:___________________________
Date:______/______/________

Time:___________AM/PM

Complete by Sep. 30th, Dec. 31st, Mar. 31st, and Jun. 30th

Monitoring Locations:

MP-1 (West end of site under sidewalk culvert)
MP-2 (Under sidewalk drain near office trailer onto Steel Road)

1. Is there non-storm water discharge at MP-1 YES / NO (circle one) at MP-2 YES / NO (circle one)
2. If “yes”, describe the location(s), the source of the discharge, and if it is authorized.
__________________________________________________________________________________
__________________________________________________________________________________________________
Authorized non-stormwater discharges include fire hydrant flushing, potable water discharge from the operation, maintenance or testing
of potable water sources, drinking fountains, irrigation drainage, landscape watering, and atmospheric condensates from refrigeration,
air conditioning, and compressors.

3. If there is discharge, please describe it using the following characteristics:
Any turbidity (clear, cloudy, or murky)?_______________________________
Any unusual color or oily sheen?_______________________________
Any unpleasant odor?_______________________________
Any floating debris (grass, trash, oil, etc.)?_______________________________
Identify & describe the source(s) of pollutants:___________________________________________
4. Describe any abnormal conditions at the discharge point such as stains, residue, oil, silt,
sludge, or dead/dying vegetation:
__________________________________________________________________________________
__________________________________________________________________________________
5. Describe any corrective measures that are to be taken as a result of these observations:
__________________________________________________________________________________
__________________________________________________________________________________
6. Are new or revised Best Management Practices (BMPs) required (include date of
implementation)?___________________________________________________________________

STORM WATER POLLUTION PREVENTION PLAN

MONTHLY WET SEASON
VISUAL OBSERVATION FORM
Facility Address:

Inland Regional Material Recovery Facility & Transfer Station
2059 East Steel Road, Colton, CA 92324

Observer Name(s):_________________________________ Title:___________________________
Date: ______/______/______

Rain Amount (in 0.01 inches):______________from onsite rain gauge

This form must be completed by the end of Oct, Nov, Dec, Jan, Feb, Mar, Apr, & May

1. Was there storm water discharge during regular facility operating hours this month? Yes / No
If there was no storm water discharge during business hours this month, then you are done with this form.

2. Monitoring Location MP-1 (West end of site under sidewalk culvert)
Observation Time:________AM/PM Est. Time Storm Water Discharge Began:________AM/PM
If there is storm water discharge at MP-1, please describe it:
Any turbidity (clear, cloudy, or murky)?_______________________________
Any unusual color or oily sheen?_______________________________
Any unpleasant odor?_______________________________
Any floating debris (grass, trash, oil, etc.)?_______________________________
Identify & describe the source(s) of pollutants:___________________________________________
3. Monitoring Location MP-2 (Under sidewalk drain near office trailer onto Steel Road)
Observation Time:________AM/PM Est. Time Storm Water Discharge Began:________AM/PM
If there was storm water discharge at MP-2, please describe it:
Any turbidity (clear, cloudy, or murky)?_______________________________
Any unusual color or oily sheen?_______________________________
Any unpleasant odor?_______________________________
Any floating debris (grass, trash, oil, etc.)?_______________________________
Identify & describe the source(s) of pollutants:___________________________________________
4. Describe any corrective measures that are to be taken as a result of these observations:
__________________________________________________________________________________
5. Are new or revised Best Management Practices (BMPs) required? Yes / No If yes, describe:
___________________________________________________________________________Date of Implementation:______________

6. Were storm water samples collected and submitted to a laboratory for analysis? Yes / No
7. Field measured pH (if applicable):__________________(use a meter calibrated for pH 4, 7, & 10)
Storm water observations should be done in daylight during scheduled facility operating hours, within the first hour of discharge, on a
day preceded by at least 3 “working” days without stormwater discharge, whenever possible

STORM WATER POLLUTION PREVENTION PLAN

BIORETENTION AREA & STORM CHAMBER
VISUAL OBSERVATION FORM
Facility Address:

Inland Regional Material Recovery Facility & Transfer Station
2059 East Steel Road, Colton, CA 92324

Observer Name(s):_________________________________ Title:___________________________
1. Date: ______/______/_______This form must be completed during every rain event that produces greater than
0.10 inch of rain and occurs during scheduled facility operating hours Monday through Friday.
2. Rainfall Amount:______________________inches (in 0.01 inch from the onsite continuous recording rain gauge)
3. Bioretention Area or StormChamber® overflow is expected? Yes / No (circle one)
4. Bioretention Area and overflow monitoring location MP-1 (West end of site)
Observation Time:________AM/PM Is storm water discharge observed: Yes / No (circle one)
Estimated Time Storm Water Discharge/Overflow Began:________AM/PM
Are pre-filter BMPs (fiber rolls, rock basket, & chevrons) in good condition? Yes / No (circle one)
When were BMPs last cleaned and/or replaced? _________________________________________
When was the rock basket last cleaned out? _____________________________________________
Does the Bioretention Area appear to be in good condition? Yes / No (circle one)
Do the plants appear healthy?_______________________________
Is there adequate ground cover?_______________________________
Is there any discoloration?_______________________________
If there is storm water discharge/overflow at MP-1/Area 1, please describe it:
Any turbidity (clear, cloudy, or murky)?_______________________________
Any unusual color or oily sheen?_______________________________
Any unpleasant odor?_______________________________
Any floating debris (grass, trash, oil, etc.)?_______________________________
Identify & describe the source(s) of pollutants:___________________________________________
Describe any corrective measures that are to be taken as a result of these observations:
__________________________________________________________________________________

STORM WATER POLLUTION PREVENTION PLAN

BIORETENTION AREA & STORM CHAMBER
VISUAL OBSERVATION FORM (Page 2)
5. StormChamber® and overflow monitoring location MP-2 (Under sidewalk drain onto Steel Road)
Observation Time:________AM/PM Is storm water discharge observed: Yes / No (circle one)
Estimated Time Storm Water Discharge/Overflow Began:________AM/PM
Are pre-filter BMPs (fiber rolls, rock basket, & chevrons) in good condition? Yes / No (circle one)
When were BMPs last cleaned and/or replaced? ________________________________________
When was the SedimenTrap™ last cleaned out? ________________________________________
Does the StormChamber® appear to be functioning correctly? Yes / No (circle one)
If there was storm water discharge/overflow at MP-2/Area 2, please describe it:
Any turbidity (clear, cloudy, or murky)?_______________________________
Any unusual color or oily sheen?_______________________________
Any unpleasant odor?_______________________________
Any floating debris (grass, trash, oil, etc.)?_______________________________
Identify & describe the source(s) of pollutants:___________________________________________
Describe any corrective measures that are to be taken as a result of these observations:
__________________________________________________________________________________
6. Are new or revised Best Management Practices (BMPs) required? Yes / No If yes, describe:
__________________________________________________________________________________
__________________________________________________________________________________

7. Date of Implementation of new BMPs:______________________________________________
8. Were storm water samples collected and submitted to a laboratory for analysis? Yes / No
9. Were photographs taken? Yes / No

LITTER CONTROL LOG
Daily record keeping of housekeeping activities at the IRMRF
Focus on litter and paper debris along site perimeter at Steel Road and CalTrans boundary
Requirements: PPE (Boots, Safety Vest lvl 3, Safety Glasses, Gloves) worn at all times.
                                                   Date:
Mon
1 ‐  Front Along Steel Road
Clean Curbside along Steel Road
Pick up litter from grass/shrubs
Sweep Steel Road near site
2 ‐  North side along Cal Trans perimeter
Clean along wall/chain link fence
Pick up litter from grass/shrubs
Pick up debris in Paved Storage Areas
3 ‐ Unpaved East Lot
Pick up litter from lot & perimeter
Pick up litter from grass/shrubs
4 ‐ Bioretention Area
Pick up litter from grass
Clean debris from pre‐filter areas
5 ‐ Parking Lots and site interior
Pick up litter 
Clean under scales/trailers

Tues

Wed

Thurs

Fri

Comments

STORM WATER POLLUTION PREVENTION PLAN

TARP APPLICATION & INSPECTION LOG
Tarps/sheeting must be firmly held in place with sandbags/weights or tarp hold-down systems. If applicable,
seams should be taped or weighted down their entire length, with a 12 to 24 inch overlap to prevent gaps. Tarps
may be joined using Grip Clips or other fastening devices. All sheeting must be inspected periodically after
installation and after heavy storms or wind. Any failures must be corrected immediately and torn tarps replaced.
The failures and corrections such as re-securing tarps or tarp replacements, should be described.

Inspectors Name(s):________________________________ Title:___________________________
Rain Start Date: _________________________

Approximate Rain Start Time:_____________

Storm End Date:_________________________

Date Tarps were removed:_________________

TARP INSPECTION LOG – (The first line is for the initial tarp application, put subsequent
inspections on the following lines)
Material(s)
Tarp Securing
Describe any failures and
DATE
TIME
Covered
Method
corrections

Additional Comments:

Appendix E
Example of Chain of Custody Form

CHAIN OF CUSTODY RECORD

7440 LINCOLN WAY
GARDEN GROVE, CA 92841-1427

LABORATORY CLIENT:

TEL:

PAGE:

[phone]

FAX:

P.O. NO.:

LAB CONTACT OR QUOTE NO.:

PROJECT CONTACT:
STATE:

ZIP:

CA

Andre Griggs

92324

SAMPLER(S): (SIGNATURE)

LAB USE ONLY

 

E-MAIL:

[phone]

1

OF

Storm Water Sampling

2059 E Steel Road

Colton

1

CLIENT PROJECT NAME / NUMBER:

Inland Regional Material Recovery Facility (IRMRF)

ADDRESS:

CITY:

DATE:

TEL: [phone] . FAX: [phone]

[e-mail]

¯

TURNAROUND TIME:

 SAME DAY

 24 HR

 48 HR

 72 HR

 5 DAYS

REQUESTED ANALYSIS

 10 DAYS

MATRIX

NO.
OF
CONT.

TSS

Oil & Grease

Metals (Al, As, Cd, Cu, Fe,
Pb, Mg, Hg, Se, Ag, Zn)

pH, EC

Cyanide, Total

COD

Ammonia (as N)

Enterococci

Fecal Coliform

SPECIAL REQUIREMENTS (ADDITIONAL COSTS MAY APPLY)

MP-1

West discharge to Steel Road

W

9

x

x

x

x

x

x

x

x

x

MP-2

East discharge to Steel Road

W

9

x

x

x

x

x

x

x

x

x

 ARCHIVE SAMPLES UNTIL ____ / ____ / ____

LAB
USE
ONLY

SAMPLE ID

LOCATION /
DESCRIPTION

SAMPLING
DATE

TIME

Please list tests required

 RWQCB REPORTING
SPECIAL INSTRUCTIONS:

Relinquished by: (Signature)

Received by: (Signature)

Date:

Time:

Relinquished by: (Signature)

Received by: (Signature)

Date:

Time:

Relinquished by: (Signature)

Received by: (Signature)

Date:

Time:

09/07/11 Revision