SAWS - Storm Water Industrial Compliance Inspection Report for “No Exposure Certification” (NEC) Facilities

Resource Protection & Compliance Department

Storm Water Industrial Compliance Inspection Report for “No Exposure Certification” (NEC) Facilities

I. Inspector Information:Site ID #:

Inspector Name: / Date:
Telephone #: (210) / Time:
E-mail Address: @saws.org / Fax #: (210) 233.

II.Site Information:

Texas Commission on Environmental Quality (TCEQ) Texas Pollutant Discharge Elimination System (TPDES) Storm Water Multi-Sector General Permit (MSGP) Exemption #:

CN #: / RN#:
Facility Name: / Address:
City: / State/Zip: TX,
Contact: / Title:
Telephone #: () / E-mail Address:
Ferguson Map Grid: / Receiving Water:
Latitude: 29° / Longitude: 98°
Primary SIC: / Sector:

III.Facility Mailing Address:

Facility Name: / Address:
City: /

State/Zip:

Contact: / E-mail Address:
Telephone #: () / Fax #: ()
IV. Site Assessment: /
Yes
/
No
/
N/A
1. Is the facility using, storing, or cleaning industrial machinery or equipment and are the areas where residuals from using, storing or cleaning the industrial machinery or equipment remaining on site exposed to storm water runoff? (e.g. Is there a washpad that is open and exposed to storm water?)
  1. 2. Are there materials or residuals on the ground or in storm water inlets from spills/leaks?

  1. Are materials or products from past industrial activity exposed?

  1. Is material handling equipment exposed (except adequately maintained vehicles)?

  1. Are materials or products during loading/unloading or transporting activities exposed to storm water?

  1. Are materials or products stored outdoors (except final products intended for outside use [i.e., outdoor signs, fencing, autos] where exposure to storm water does not result in the discharge of pollutants)?

  1. Are materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers and are they exposed to storm water?

  1. Are materials or products handled/stored on roads or railways owned or maintained by the operator that may be exposed to storm water?

  1. Are waste materials exposed (except waste in covered, non-leaking containers, or dumpsters)?

  1. Is there application or disposal of process wastewater (unless otherwise permitted) outside?

  1. Is particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated (i.e., under air quality control permit) evident in the storm water outflow?

  1. Are raw materials exposed to storm water?

  1. Are intermediate products exposed to storm water?

  1. Are by-products exposed to storm water?

  1. Are final products exposed to storm water?

  1. Are fueling areas present and/or exposed?

  1. Are (equipment) maintenance areas exposed?

IV. Site Assessment:(cont.) /
Yes
/
No
/
N/A
  1. Are waste minimization or waste reduction (recycling) practices in place?

  1. Are there containment areas for chemical/waste storage?

  1. Is spill response equipment available on site?

  1. Is there proper signage and labeling on site?

  1. Are good housekeeping practices in place?

  1. Does the facility meet the definition of “No Exposure”?

V. Form(s) Issued:

TCEQ No Exposure Certification (NEC) Form # 10383
TCEQ Notice of Termination (NOT) Form # 10443
TCEQ Notice of Intent (NOI) Form # 10382

VI. Overall Comments:

1