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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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 RCC COPAD Quarterly Inspection 4 rev. 3/2014

CITY OF PHOENIX AVIATION DEPARTMENT SPECIALIZED AVIATION SERVICE OPERATION (SASO) QUARTERLY FACILITY INSPECTION FORM FACILITY INFORMATION Tenant Name: Airport: PHX DVT GYR Address: PPT Member(s): Phone Number: Email : PREVIOUS ISSUES INSPECTION INFORMATION Inspector: Site Visit Date Site Visit Time Inspector: WEATHER INFORMATION Clear Cloudy Raining Last Rain Event: w/in 24 hrs 24‐72 hrs 72 hrs + CM – GENERAL (1) Spill(s) or staining observed (1.8.1) Yes No N/A Comment: Materials/Activities conducted under storm resistant cover (1.1) Yes No N/A Comment: Exposed areas clean and orderly (1.2) Yes No N/A Comment: Restricted/controlled site access (1.3) Yes No N/A Comment: Biodegradable or less hazardous products used where possible (1.4) Yes No N/A Comment: Spill Response Plan posted (1.5) Yes No N/A Comment: Spill kits stocked with adequate materials for activities conducted in area (1.6.1) Spill response equipment accessible and located where spills are probable to occur (1.6.2) Yes No N/A Comment: Yes No N/A Comment: Spill kit(s) properly labeled (1.6.3) Yes No N/A Comment: Spill kit(s) are appropriately covered or have a lid (1.6.4) Yes No N/A Comment: Spill kits free of trash, debris or used sorbent (1.6.5) Yes No N/A Comment: Spill response materials properly cleaned up and disposed (1.8.2) Yes No N/A Comment: Copy of SWPPP (or can locate electronically) (1.15) Yes No N/A Comment: SDSs available for chemicals stored/used onsite (may be available by phone or electronically) (5.6) Yes No N/A Comment: SASO COPAD Quarterly Inspection 1 rev. 3/2014

CITY OF PHOENIX AVIATION DEPARTMENT<br />

SPECIALIZED AVIATION SERVICE OPERATION (SASO) QUARTERLY FACILITY INSPECTION FORM<br />

FACILITY INFORMATION<br />

Tenant Name: Airport: PHX DVT GYR <br />

Address:<br />

PPT Member(s): Phone Number: Email :<br />

PREVIOUS ISSUES<br />

INSPECTION INFORMATION<br />

Inspector: Site Visit Date Site Visit Time<br />

Inspector:<br />

WEATHER INFORMATION<br />

Clear Cloudy Raining Last Rain Event: w/in 24 hrs 24‐72 hrs 72 hrs +<br />

CM – GENERAL (1)<br />

Spill(s) or staining observed (1.8.1) Yes No N/A Comment:<br />

Materials/Activities conducted under storm resistant cover (1.1) Yes No N/A Comment:<br />

Exposed areas clean and orderly (1.2) Yes No N/A Comment:<br />

Restricted/controlled site access (1.3) Yes No N/A Comment:<br />

Biodegradable or less hazardous products used where possible (1.4) Yes No N/A Comment:<br />

Spill Response <strong>Plan</strong> posted (1.5) Yes No N/A Comment:<br />

Spill kits stocked with adequate materials for activities conducted in area<br />

(1.6.1)<br />

Spill response equipment accessible and located where spills are probable to<br />

occur (1.6.2)<br />

Yes No N/A Comment:<br />

Yes No N/A Comment:<br />

Spill kit(s) properly labeled (1.6.3) Yes No N/A Comment:<br />

Spill kit(s) are appropriately covered or have a lid (1.6.4) Yes No N/A Comment:<br />

Spill kits free of trash, debris or used sorbent (1.6.5) Yes No N/A Comment:<br />

Spill response materials properly cleaned up and disposed (1.8.2) Yes No N/A Comment:<br />

Copy of SWPPP (or can locate electronically) (1.15) Yes No N/A Comment:<br />

SDSs available for chemicals stored/used onsite (may be available by phone or<br />

electronically) (5.6)<br />

Yes No N/A Comment:<br />

SASO COPAD Quarterly Inspection 1 rev. 3/2014

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