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Download a copy of AMI's Clean Marina best management practices ...

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Inspection form templates<br />

Appendix A<br />

Quarterly Non-Stormwater Discharge Assessment Log<br />

Outfall Number or Description: ___________________________________________________<br />

Flow 1 (Y/N): __________________________________________________________________<br />

If Flow is Yes, Complete This Section: _____________________________________________<br />

Possible Source: Leaking fluids from boats and trailers as they await maintenance or use. Soil<br />

erosion.<br />

Observations 2 : _________________________________________________________________<br />

Corrective Action: ______________________________________________________________<br />

Outfall Number or Description: ___________________________________________________<br />

Flow 1 (Y/N): __________________________________________________________________<br />

If Flow is Yes, Complete This Section: _____________________________________________<br />

Possible Source: Leaking fluids from parked vehicles in the parking lot. Leaking fluids from<br />

boats as they enter and exit the river. Soil erosion. Litter and fish waste accumulated by boaters.<br />

Observations 2 : _________________________________________________________________<br />

Corrective Action: ______________________________________________________________<br />

Outfall Number or Description: ___________________________________________________<br />

Flow 1 (Y/N): __________________________________________________________________<br />

If Flow is Yes, Complete This Section: _____________________________________________<br />

Possible Source: Fluid spills during maintenance activities, fuel leaks during fueling, and<br />

wastewater from cleaning operations.<br />

Observations 2 : _________________________________________________________________<br />

Corrective Action: ______________________________________________________________<br />

Inspector's Name: _____________________________________________________________<br />

Date: ________________________________________________________________________<br />

1<br />

Evaluation shall take place during dry periods<br />

2<br />

Observations include flow, stains, sludge, color, odor, or other indications <strong>of</strong> a<br />

non-stormwater discharge<br />

Stormwater Pollution Prevention Plan 13

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