Stormwater Pollution Prevention Plan - Phoenix Sky Harbor ...

Stormwater Pollution Prevention Plan - Phoenix Sky Harbor ... Stormwater Pollution Prevention Plan - Phoenix Sky Harbor ...

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Activity Specific CMs CM – BUILDING AND GROUNDS MAINTENANCE (7) Yes No Subcontractor: __________________________________ Use of pesticide, herbicide, and fertilizer minimized (7.2.1) Yes No N/A Comment: Pesticides, herbicides, and fertilizers applied properly (7.2.2) Yes No N/A Comment: Landscaping provided for erosion control (7.3) Yes No N/A Comment: Floors and ground surfaces cleaned using dry methods, i.e. broom or vacuum (7.4.1) Yes No N/A Comment: Interior floor cleaning water properly disposed (7.4.2) Yes No N/A Comment: Exterior ground surfaces cleaned and wash water collected and properly disposed (7.4.2, 7.11) Yes No N/A Comment: Landscape waste, sweepings and sediments properly disposed of (7.9) Yes No N/A Comment: Catch basins regularly cleaned (7.7.1) Yes No N/A Comment: Filter fabric used in storm drains (7.7.2) Yes No N/A Comment: Storm drain inlets labeled (7.8) Yes No N/A Comment: CM – WASTE HANDLING AND DISPOSAL (8) Leak from trash cart(s), trash can(s), or dumpster(s) observed (8.7.1) Yes No N/A Comment: Oil, grease, solvents, batteries, etc. recycled in a timely fashion (8.1) Yes No N/A Comment: Used batteries properly stored and recycled in 30 days (8.2.1) Yes No N/A Comment: Batteries stored on secondary containment and under cover (8.2.2) Yes No N/A Comment: Containers labeled "Used Batteries" (8.2.3) Yes No N/A Comment: Used oil containers and filters properly disposed of or recycled (8.3.1) Yes No N/A Comment: Dumpsters cleaned in designated areas (8.4) Yes No N/A Comment: Adequate number of trash receptacles provided throughout facility (8.5) Yes No N/A Comment: Spilled fluids collected and properly disposed (8.7) Yes No N/A Comment: Waste and unusable material disposed of properly (8.8.1) Yes No N/A Comment: Dumpster not overloaded with material (8.8.2) Yes No N/A Comment: Dumpster lids closed (8.9.2) Yes No N/A Comment: Dumpster drains equipped with plugs (8.9.3) Yes No N/A Comment: Trash receptacles have lids (8.9.6) Yes No N/A Comment: Garbage collection area properly maintained (8.9.5) Yes No N/A Comment: Garbage collection areas covered (8.9.1) Yes No N/A Comment: CM – LAVATORY (9) Yes No Subcontractor: __________________________________ Waste spill and/or leak observed (9.10) Yes No N/A Comment: Lavatory activities performed away from storm drain inlets (9.1) Yes No N/A Comment: Detergent/disinfectant mixing and transfer conducted under cover (9.3) Yes No N/A Comment: Approved fluids used for servicing aircraft lavatories (9.5.1) Yes No N/A Comment: Proper procedures for servicing aircraft lavatories followed (9.5.2) Yes No N/A Comment: Lavatory waste properly disposed (9.5.6) Yes No N/A Comment: Spill response supplies maintained on lavatory service vehicles (9.9) Yes No N/A Comment: Lavatory service equipment maintained (9.8) Yes No N/A Comment: CM – POTABLE WATER SERVICE (9) Yes No Subcontractor: __________________________________ Potable water flushing performed in designated area (9.6.1) Yes No N/A Comment: Proper procedures for servicing potable water systems followed (9.6.3) Yes No N/A Comment: COPAD Quarterly Facility Inspection 4 rev. 3/2014

INSPECTION SUMMARY Compliance Items/Notes Yes No CM(s) Comment Outstanding Performance Yes No CM(s) Comment INSPECTOR SIGNATURE TIME COMPLETE TENANT INITIALS 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 assure that qualified personnel properly gathered and evaluated 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. Name: Signature COPAD Quarterly Facility Inspection 5 rev. 3/2014

INSPECTION SUMMARY<br />

Compliance Items/Notes Yes No<br />

CM(s) Comment<br />

Outstanding Performance Yes No<br />

CM(s) Comment<br />

INSPECTOR SIGNATURE TIME COMPLETE TENANT INITIALS<br />

I certify under penalty of law that this document and all attachments were prepared under my direction or<br />

supervision in accordance with a system designed to assure that qualified personnel properly gathered and<br />

evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or<br />

those persons directly responsible for gathering the information, the information submitted is, to the best of my<br />

knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting<br />

false information, including the possibility of fine and imprisonment for knowing violations.<br />

Name:<br />

Signature<br />

COPAD Quarterly Facility Inspection 5 rev. 3/2014

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