INDUSTRIALUSERCOMPLIANCEINSPECTION
CHECKLIST
Inspection Date: Time:
A. BACKGROUND INFORMATION
Facility Name:
Address:
Metro Connector:
Name of Responsible Official:
Title:
Phone Number:
Name of Contact:
Title:
Phone Number:
Personnel Present at Inspection:
Industry (Name and Title):
Connector:
Metro:
B. FACILITY INFORMATION
Industrial Category:
Applicable Federal Regulations:
Permit Effective/Expiration Dates:
Briefly describe the processes used at this facility:
Note any changes in the processes or wastestreams from those described in the BMR or previous inspections. Draw a new process diagram, including wastestreams, indicating any changes. If no change, indicate "NONE."
Were these changes reported to the Connector and Metro?
Yes No N/A
Do these changes affect the applicable federal regulations?
(If yes, explain) Yes No N/A
C. SHIFT INFORMATION
Shifts Normally Worked:
SUN / MON / TUES / WED / THURS / FRI / SAT1st
2nd
3rd
Shift Times: Average Number of Employees
per shift:
1st 1st
2nd 2nd
3rd 3rd
Normal Operating Months:
full year or J F M A M J J A S O N D
D. FLOW DATA
Regulated or process Flow Rates:
Avg. Daily Flow gpd
Max. Daily Flow gpd
How were these flows measured?
Non-Regulated or Non-Process Flow Rates:
Avg. Daily Flow gpd
Max. Daily Flow gpd
How were these flows measured?
E. SAMPLING
(Explain any NO answers)
Are sampling facilities in satisfactory condition?
Yes No
Does only regulated process flow pass through the designated sampling points?
Yes No
IF NO SELF MONITORING REQUIRED, SKIP TO SECTION F.
Is the I.U. performing the minimum amount of sampling as required by the Permit?
Yes No
Are all samples taken at the designated sampling points? (Inspector should require I.U. to identify sampling points)
Yes No
Are sample types (composite, grab) taken as specified in the discharge permit?
Yes No
If the discharge is in violation of permit limits, is increased sampling being performed?
Yes No N/A
Are samples representative of the discharge during normal operating conditions?
Yes No
Are samples collected according to accepted sampling procedures?
Yes No
Do sample test procedures conform to 40 CFR 136?
Yes No
Is this documented? Yes No
F. LABORATORY FACILITIES
Is an onsite laboratory used? Yes No
Parameters:
Is an offsite laboratory used? Yes No
Parameters:
Name of Offsite Laboratory:
Phone:
Contact:
G. ACCIDENTAL DISCHARGE
Has the I.U. posted a notice advising whom to call in the event of an accidental discharge?
Yes No
H. PRETREATMENT SYSTEM
Briefly describe the pretreatment system: (IF NONE, INDICATE "NONE," AND SKIP TO SECTION I)
Is the pretreatment system batch or continuous?
Is there a full time Waste Treatment Operator? Yes No
Is he/she certified? Yes No Certification Level:
Are all treatment units in service? Yes No
If not, how is the waste being treated?
Is there an O&M manual for the Pretreatment System?
Yes No
Is there a contingency plan for emergencies relating
to the Pretreatment System?
Yes No
Can the Pretreatment System be bypassed?
Yes No
Are there any sludges produced from the pretreatment process?
(IF NO, SKIP TO SECTION I) Yes No
If the sludges produced are hazardous, are they disposed
of via a RCRA manifest?
(If no, explain) Yes No N/A
I.U. ID Number:
Hauler:
Hauler ID Number: Disposal Site:
Frequency: Quantities:
If the sludges produced are not hazardous, how are the sludges disposed of?
I. TOXIC ORGANIC MANAGEMENT PLAN
IF THE INDUSTRIAL USER IS NOT REGULATED BY CATEGORICAL STANDARDS, OR IF THE CATEGORICAL STANDARD DOES NOT CONTAIN LIMITS FOR TTOs, SKIP TO SECTION J.
Does the I.U. monitor for TTOs, submit the TTO certification statement contained in its permit with each PCR, or monitor alternative parameters (i.e. oil & grease)?
If the I.U. has certified that TTOs are not present in the wastestream, have they submitted a Toxic Organic Management Plan?
(If no, explain) Yes No
Has this plan been implemented? Yes No
(If no, explain)
Describe any deficiencies.
List any organic chemicals found onsite which should be covered by the TTO plan.
J. SPILL PREVENTION PLAN
Does the industry's permit require a Spill Prevention Plan?
Yes No
Has a Spill Prevention Plan been submitted?
(If no, explain) Yes No N/A
Has the Spill Prevention Plan been implemented?
(If no, explain) Yes No N/A
Describe any deficiencies in the Plan or its implementation.
Describe any site conditions which should be covered by a Spill Prevention Plan.
K. RECORDS MAINTENANCE
Are records onsite and available for inspection?
Yes No
Are all records pertaining to monitoring kept for a minimum of three years?
Yes No
Compare industrial user records with connector/Metro records. Describe any discrepancies.
Do the monitoring records contain the following information: (IF NO SELF-MONITORING, SKIP TO SECTION L).
Sample Date? Yes No
Sample Location? Yes No
Sample Type? Yes No
Sample Time? Yes No
Sampler Name? Yes No
Date analysis was performed? Yes No
Lab performing analysis? Yes No
Analytical methods used? Yes No
Results of analysis? Yes No
If the industry performs any onsite sample analysis (e.g., pH) for reporting purposes, are maintenance, calibration and equipment records kept for all sampling and measuring equipment or devices?
Yes No N/A
If applicable, are the following records available:
1. Wastewater flow data or water meter readings?
Yes No N/A
2. Production data?
Yes No N/A
3. Batch discharge information?
Yes No N/A
4. Chart recordings of explosion hazard, and/or discharge flow and/or power supply monitoring?
Yes No N/A
5. pH chart recordings?
Yes No N/A
6. Material waste profiles, income logs and source lists?
Yes No N/A
7. Records of visual oil and grease observations?
Yes No N/A
8. A listing of the volume and character of wastewater transported to the industrial treatment plant from spills and wrecks?
Yes No N/A
9. Receipts of all perchloroethylene or "perc"-containing products purchased and disposed?
Yes No N/A
10. Records of removed substances?
Yes No N/A
Are the records adequate?
Yes No
L. COMPLIANCE INSPECTION MONITORING RESULTS
Was a sample collected during the inspection?
(IF NO, SKIP TO SECTION M)
Yes No
Grab Sample? Yes No
Parameters:
Composite Sample? Yes No
Flow Proportioned? Yes No
Parameters:
Describe how and where (monitoring point number) the sample was collected. Include sampling and flow monitoring equipment used, custody procedures, field preservation, etc.
Sample split with IU?
Yes No
Attach a copy of the following forms to this inspection report:
Chain or Custody Form
Laboratory Analysis Report
M. ENFORCEMENT
Is the IU presently under an informal/formal enforcement action by the Control Authority?
Yes No
If yes, describe status:
N. OTHER FINDINGS
O. INDUSTRY CONCERNS
P. SLUG PLAN REVIEW
Q. POLLUTION PREVENTION MEASURES
INSPECTOR(S)
Signature: Date:
Signature: Date:
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