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General • Inspections

Quarterly Visual Examination of Storm Water Quality

Once per quarter, the facility-wide environmental inspection should include a visual examination of the storm water discharge outfall using this portion of the form. The visual examination must be conducted during daylight hours. If no rain occurred, check “No Rain.” Complete this form.
Ergon - Lubbock 14842
04/03/2022

Quarterly Visual Examination of Storm Water Quality

Once per quarter, the facility-wide environmental inspection should include a visual examination of the storm water discharge outfall using this portion of the form. The visual examination must be conducted during daylight hours. If no rain occurred, check “No Rain.” Complete this form.

    Examination

    Person conducting examination

    Nature of Discharge

    Visual quality of storm water discharge and probable sources

    Color

    Suspected Source of Contaminant/Comments

    Clarity

    Suspected Source of Contaminant/Comments

    Odor

    • Yes
    • No
    • N / A

    Suspected Source of Contaminant/Comments

    Floating Solids

    • Yes
    • No
    • N / A

    Suspected Source of Contaminant/Comments

    Suspended Solids

    • Yes
    • No
    • N / A

    Suspected Source of Contaminant/Comments

    Settled Solids

    • Yes
    • No
    • N / A

    Suspected Source of Contaminant/Comments

    Foam

    • Yes
    • No
    • N / A

    Suspected Source of Contaminant/Comments

    Oil Sheen

    • Yes
    • No
    • N / A

    Suspected Source of Contaminant/Comments

    Other

    • Yes
    • No
    • N / A

    Suspected Source of Contaminant/Comments

    How long since the last rain event greater than 0.1 inch? (in hours; must be at least 72 hours)

    Start Time of Rainfall Event

    Stop Time of Rainfall Event

    Duration of Storm (in hours)

    Magnitude of Rainfall (in inches)

    Is the amount of rainfall over 0.1 inches?

    • Yes
    • No
    • N / A

    Estimate the total volume (in gallons) of the discharge sampled

    Additional comments

Source: Ergon - Lubbock 14842 (Community Member)

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