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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

29 steps
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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