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HomeMy WebLinkAbout1998-05-12 - AGENDA REPORTS - MOU WITH LACOPW FOR NPDES (2)CONSENT CALENDAR IJW3 AGENDA REPORT City Manager ApprovPVA�_� Item to be presented Amelia Rietzel May 12, 1998 SUBJECT: APPROVAL OF MEMORANDUM OF UNDERSTANDING WITH LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS FOR NPDES EDUCATIONAL SITE VISIT PROGRAM DEPARTMENT: Planning & Building Services RECOMMENDED ACTION City Council approve and authorize the City Manager or his designee, to execute a Memorandum of Understanding with Los Angeles County Department of Public Works, subject to City Attorney approval. BACKGROUND In 1994, the City became a Permittee on the Los Angeles County NPDES Municipal Permit, The Permit requires that cities reduce to the maximum extent practicable the level of pollutants entering the stormdrain system from urban runoff. One element that the City must do to comply with this Permit, is conduct educational site visits for the following types of facilities: • Gas Stations • Auto Repair • Auto Parts and Accessories • . Industrial facilities • Restaurants Educational Site Visits are provided to each of the mentioned facilities as a means to educate businesses about the requirements of the NPDES Permit and how the business can implement measures to reduce the amount of pollution in the runoff from these properties. The County Board of Supervisors has authorized the County of Los Angeles Department of Public Works to expend the necessary funds to either 1) provide the service to each of the cities; or 2) provide the necessary funding for each city to conduct their own educational site visits. There are approximately 1,100 facilities in the City that fall into one of the above categories, requiring two educational site visits over a four year period of time. To avoid subjecting local businesses to multiple visits from various regulatory agencies; the County has offered to provide these visits in conjunction with Los Angeles County inspections that already occur. The Health Department will provide the service for all restaurants. The Industrial Waste Division will provide the service to all facilities with an Industrial Waste Permit and facilities that must receive a visit, but are not covered under existing contracts with Industrial Waste and/or the Health Department. In order for the City to receive this service at no charge from the County of Los Angeles, a Memorandum of Understanding must be executed with Los Angeles County. ALTERNATIVE ACTIONS Other action as determined by Council. FISCAL IMPACT There is no fiscal impact to the City.for this program. All services are provided by Los Angeles County at no cost to the City. The County Board of Supervisors has authorized the expenditure of this funding for the next fiscal year. JCG:ch S:\PBS\ENVSBVCS\COUNCIL\NPDES\sit ist.dx M E M 0 R A -N D U M O F U N D E R S T A N D I N G THIS MEMORANDUM OF UNDERSTANDING, made and entered.into this day of '1998, by and between the COUNTY OF LOS ANGELES, a political subdivision of the State of California, hereinafter referred to as "COUNTY", and the CITY OF SANTA CLARITA, a municipal corporation in the County of Los Angeles, hereinafter referred to as "CITY". W I T N E S S E T H: WHEREAS, COUNTY and CITY are Permittees to the National Pollutant Discharge Elimination System Municipal Stormwater Permit, hereinafter referred to as "NPDES PERMIT", issued by.the State of California Regional Water Quality Control Board, Los Angeles Region, by Order No. 96-054, NPDES No. CAS614001, on July 15, 1996, which permit will expire on July 30, 2001; and WHEREAS, COUNTY and CITY are required by the NPDES PERMIT to perform industrial/commercial educational site visits, hereinafter referred to as "SITE VISITS", to apprise business owners/facility operators of the NPDES PERMIT and Best Management Practices to enhance runoff from these properties; and WHEREAS, the COUNTY Board of Supervisors approved Item No. 41 (CRON No. 97213LACO014) on August 12, 1997, making funds available from the COUNTY to the CITY for SITE VISITS and authorizing the Director of Public Works to develop a Memorandum of Understanding with the CITY. NOW, THEREFORE, in consideration of the mutual benefits to be derived by the COUNTY and CITY and of the promises herein contained, it is hereby understood as follows: IT IS MUTUALLY UNDERSTOOD AND AGREED AS FOLLOWS: A. This Memorandum of Understanding will become effective 60 days after the CITY submits to the COUNTY its database listing of industrial and commercial facilities, except that the effective date will be no sooner than the date of execution. The database listing of industrial and commercial facilities shall identify all facilities within the CITY's jurisdiction as specified in Part 2, Section V.B.3.a. of the NPDES PERMIT, as summarized in ATTACHMENT A hereto. The database listing shall be PC based, in dBASE IV (*.DBF) format. The media format shall be a PC formatted 3 1/2" floppy diskette. The field names, order, width and format (i.e., character, numeric, etc.) shall be in keeping with ATTACHMENT B. B. The database listing of all industrial and commercial facilities submitted to the COUNTY, as well as the quarterly database listing of SITE VISITS, required for reimbursement by this Memorandum of Understanding, will be.submitted by the COUNTY to the Regional water Quality Control Board as required by Part 2, Section V.B. of the NPDES PERMIT, unless instructed otherwise by the CITY. A PC based database program, SiteViz, which includes the fields described in the Program Summary and Guidance document for the Industrial and Commercial Education Program, May 1997, provided to the CITY by the COUNTY, may be used for this purpose. C. This Memorandum of Understanding will terminate on June 30, 2001, except that either the COUNTY or CITY may terminate this Memorandum of Understanding prior to that date by giving 30 days prior written notice to the other Party. D. The CITY :agrees .to update its database listing at least annually to identify all new facilities and update information on existing facilities and to submit such updated database to the COUNTY (see ATTACHMENT B). E. Random checking of the CITY's database listing of industrial and commercial facilities may be performed by the COUNTY to ensure proper accounting and accuracy. The COUNTY will inform the CITY of any discrepancy in the list and a new database listing may be requested. F. The: COUNTY has determined the total number of SITE VISITS eligible to be funded based on the number of facilities identified within the CITY and the frequency of SITE VISITS required by the NPDES PERMIT. This total appears in ATTACHMENT C hereto. The CITY will conduct or contract. (using standard CITY selection process) to conduct the required number of SITE VISITS for the identified facilities at the frequency required by the NPDES PERMIT. G. The CITY understands and acknowledges that total funding for the site visit reimbursement program is limited. Allocation of funds to each individual city is on a first -come -first -serve. basis. Based on the foregoing, the COUNTY has determined the total. funding to be allocated to the CITY and the maximum annual reimbursement. The total appears in ATTACHMENT C hereto. H. Based on the CITY's update of the database listing under Paragraph D herein, ATTACHMENT C may be modified upon mutual agreement of the parties. - I - I. The COUNTY will reimburse the CITY for the CITY's actual cost in conducting the SITE VISITS up to a maximum rate of $34 per food establishment and $50 per facility for all other required categories. The CITY will provide to the COUNTY, along with each invoice, a full disclosure of its costs to perform SITE VISITS. J. The CITY shall invoice the COUNTY quarterly for services accrued through the following dates within each quarter for reimbursement of SITE VISITS performed (March 31, June 30, September 30, and December 31). The CITY'S reimbursement will be based on the CITY's itemized database listing of performed SITE VISITS, to be submitted to the COUNTY on a quarterly basis as required by Part 2, Section V.B. of the NPDES PERMIT. The CITY agrees to utilize an invoice sheet as provided (ATTACHMENT D) to help expedite payment. Invoices are to be sent to COUNTY Department of Public Works - Fiscal Division as outlined on ATTACHMENT D. A copy of the invoice and the database listing of performed SITE VISITS are to be sent to COUNTY Department of Public Works - Environmental Programs Division as outlined on ATTACHMENT B. Both the invoice and corresponding database listing of performed SITE VISITS must be received by each corresponding Division within 10 days of the last day of each quarter. K. The CITY shall provide to the COUNTY by July 5 of each year an estimate of the fourth quarter's (COUNTY's fiscal year is July 1 to June 30) performed SITE VISITS as provided in ATTACHMENT D.1. L. If CITY contracts with the COUNTY for industrial waste services, the COUNTY, at no cost to the CITY, will perform SITE VISITS for those facilities listed in the COUNTY Department of Public Works - Industrial Waste Section database covered by said contract as specified in ATTACHMENT E. The CITY has the option to request incorporation of the non -industrial waste permitted facilities to the program as set forth in ATTACHMENT E. M. In addition, the CITY has the option of utilizing the Los Angeles County Department of Health Services (LACDHS) to perform SITE VISITS for the food establishments. The COUNTY will administer this program as specified in ATTACHMENT F. In that event, the City agrees that the LACDHS' database listing of food establishments will be used to determine the facilities requiring SITE VISITS. N. Notwithstanding Paragraph J, the City agrees not to invoice the COUNTY for SITE VISITS to be performed by the COUNTY pursuant to Paragraphs L & M. -3 - O. The total annual reimbursement to the CITY shall not exceed one-quarter of its total estimated four-year program cost as set forth in ATTACHMENT C, except that all funds allocated to the CITY and not reimbursed within a given fiscal year will be added to the funds designated for the CITY in the following year's budget for this program, subject to the limitations set forth in Paragraphs G and Q herein. P. Subject to the provisions of Paragraphs F, G and O herein, the COUNTY agrees to reimburse the CITY based on approved, properly certified CITY invoices no later than 60 days after the invoices are received by the COUNTY. Q. Upon termination of this Memorandum of Understanding, all funds for the reimbursement program designated to the CITY which have not bee:, used, or for which properly certified invoices for SITE VISITS have not been received by the COUNTY, shall revert back to the COUNTY's use for other cities in the program. R. The CITY agrees to indemnify, defend, and save harmless the COUNTY and the Los Angeles County Flood Control District and their agents, officers, and employees from and against any and all liability, expense (including defense costs and legal fees), or claims for damages of any nature whatsoever, including without limitation bodily injury, death, personal injury, or property damage (including property of the CITY) arising from or connected with any alleged act; error, or omission of the CITY, its agents, contractors, officers, or employees undertaken pursuant to this Memorandum of Understanding, except to the extent such is attributed to the negligent or willful acts or omissions of the COUNTY and its agents, officers, and active employees. S. The foregoing paragraph notwithstanding, the CITY further agrees to release the COUNTY and the Los Angeles County Flood Control District and their agents, officers and employees from any Worker's Compensation suits, liability, or expense, arising from or connected with any services performed pursuant to this Memorandum of Understanding on behalf of the CITY by any person, excluding Workers' Compensation claims made by the COUNTY, it agents, officers, and employees. - 4 - ACCEPTED AND AGREED: HARRY W. STONE Director of Public Works County of Los Angeles UNM\GRIDS W 0U\M0UCrrYAEY I&IM ME City Manager City of Santa Clarita ATTACHMENT A Phase 1 Facilities • Facilities subject to stormwater effluent limitations guidelines, new source performance standards, or toxic Pollutant effluent standards (40 CFR Subchapter N) • Manufacturing facilities • Oil and gas / mining facilities • Hazardous waste treatment, storage, or disposal facilities • Landfills, land application sites, and open dumps • Recycling facilities • Steam electric power generating facilities • Transportation facilities • Sewage or wastewater treatment plants • Manufacturing facilities where materials are exposed to stormwater II. Specific Facilities • Vehicle repair shops, vehicle body shops, vehicle parts and accessories • Gasoline stations • Restaurants NPDES Permit No. CAS614001 Part 2 Section V.13.3. ' Sec above fur Phase 1 tacilil?- listing ' (HASP = ('eneral Industria Activity Slnnn wader Discharge Permit •" [hrec in 24 months with it nlinmtmn of Iwo Silo visits during IIIc live.year lean ill the Pcrntil Note: 'I'his Memorandum of' Understanding docs not include funding fin SITE VISITS for facilities defined in Part 2, SectionV.13.3.iv and Part 2, Section V.13.3.viii of the NPDI?S PLftMI"f. Schedule of Education Site Visits FACILITIES SITE VISIT FREQUENCY (No. of Contacts / Time period) i) Phase 1*, (1] -[ix], and [xi] with waste discharge or I /24 months ••* pretreatment permit ii) Phase 1*, til -[ix] and txi] with no waste discharge or 1/24 months *** pre treatmentPermit, but with GIASP** iii) Phase 1*, (i] -[ix] with no waste discharge or 1 / 24 months *** pretreatment permit, and no GIASP** iv) See Note Below. 1/ 5 years v) Vehicle repair shops, vehicle body shops, vehicle 1/24 months *** arts accessories facilities vi) Gasoline Stations 1 / 24 months **• vii) Restaurants 1 /24 months'*• viii) See Note Below_ — --- -- - I / 36 months -- -- ' Sec above fur Phase 1 tacilil?- listing ' (HASP = ('eneral Industria Activity Slnnn wader Discharge Permit •" [hrec in 24 months with it nlinmtmn of Iwo Silo visits during IIIc live.year lean ill the Pcrntil Note: 'I'his Memorandum of' Understanding docs not include funding fin SITE VISITS for facilities defined in Part 2, SectionV.13.3.iv and Part 2, Section V.13.3.viii of the NPDI?S PLftMI"f. ATTACHMENT B DATABASE SUBMITTAL PROCEDURE If the floppy disk containing the database is to be mailed, a floppy disk mailer should be utilized in place of a standard envelope and addressed to: Los Angeles County Department of Public Works Environmental Programs Division - Water Quality Section P.O. Box 1460 Alhambra, CA 91802-1460 or if to be hand delivered to: 900 So. Fremont Avenue - 2nd Floor Annex Alhambra, CA 91803 tlt See Paragraphs A, B, D, E, H, and K (21 FACILITY - Designated to represent the "Doing t't WMA - Watershed Management Area Educational Site Visit Program Database (I) PC Formatted 3%" Floppy Diskette / dBASE IV+ (*.DBF) Field lField Name I Field Description Formatfield width I FACILITY (3) Name of Facility CHARACTER (32) 2 STR_NUM Street Number of Facility Address CHARACTER (5) 3 STR_FRAC Street Number Fraction (if any) CHARACTER (4) 4 STR_PREF Street Direction Prefix (if any) CHARACTER (2) 5 STR_NAME Street Name CHARACTER (24) 6 STR SUFF Street Type Suffix CHARACTER (5) 7 UNIT _NUM Unit or Suite Number of Facility CHARACTER (5) 8 CITY City CHARACTER (24) 9 ZIP 5 Digit Zip Code CHARACTER (5) 10 WMA t' Watershed Management Area NUMERIC (1) SIC Standard Industrial Classification - 4 Digit NUMERIC (5) 12 NOI_FLAG 0) Permit Coverage Status NUMERIC (1) 13 PERMTE Permittee Name CHARACTER (50) 14 VIS DATE Date of Site Visit - mm/dd/yy DATE - Century ON tlt See Paragraphs A, B, D, E, H, and K (21 FACILITY - Designated to represent the "Doing t't WMA - Watershed Management Area 1 = Malibu Creek and Rural Santa 2 = Ballona Creek and Urban Santa 3 = Los Angeles River 4 = Dominguez Channel/Los Angeles 5 = San Gabriel River 6 = Santa Clara River 1"' NOI_FLAG - Permit Coverage .Status 1 = YES Permit Filed 2 = NO Permit Filed 3 = UNKNOWN 4 Individual Stormwater Permit Business As" name Monica Bay Monica Bay Harbor ( 0 2 2 ) (# 2 _ § § 9 @ w� § $ [ (0 {) { � { 76 _ \ j } K ) ) k! / \ w j §! q) § \� ( LU z �0 (/K) §\ )§( § Cf ® < \§kw (� r -CL 32 \ ( \\ < k§(\ \ - S: ° \([/ _ z- © /\§) - >t § \ fw ))(/ 7. 0 \ INVOICE Front the City of Date MOU No. Attention: Los Angeles County Department of Public Works Fiscal Division P.O. Box 7508 Alhambra, CA 91802-7508 For services as follows: Invoice No. ATTACHMENT D Send your payment to: Name Title: Div ision/Department: The undersigned hereby certifies that the above claim is true and correct. I-KIN'IID Name: PRINT D Name: swNrD 'title: Phone No.: Fax No.: Average Staff Time Per Visit Staff Salary Rate Overhead Cost Total Number of Food Establishments Total Number of Industrial Establishments Total Number of Establishments: Total Amount Due: S Send your payment to: Name Title: Div ision/Department: The undersigned hereby certifies that the above claim is true and correct. I-KIN'IID Name: PRINT D Name: swNrD 'title: Phone No.: Fax No.: ATTACHMENT D.1 ESTIMATE OF INVOICE From the City of Date MOU No. Attention: Los Angeles County Department of Public Works Fiscal Division P.O. Box 7508 Alhambra, CA 91802-7508 For services as follows: The undersigned hereby certifies that the above claim is a good faith estimate. Name: SIGNLD Name: PRINTED Title: Phone No.: Fax No.: Estimated Cost Total Number of Food Establishments Total Number of Industrial/Commercial Establishments Total # of Establishments: Total Amount Due: $ The undersigned hereby certifies that the above claim is a good faith estimate. Name: SIGNLD Name: PRINTED Title: Phone No.: Fax No.: ATTACHMENT E INDUSTRIAL WASTE CONTROL PROGRAM CONTRACT CITIES INSPECTION / SITE VISIT PROGRAM The program will be implemented by incorporating a Stormwater Facility Site Visit (SFSV) at each facility presently inspected under an Industrial Waste Disposal Permit (IWDP) within the CITY boundaries at a frequency specified in the NPDES Permit with the exception of food establishments inspected by the LACDHS. In addition, for those cities that request incorporation of non-IWDP sites into the program, facilities listed in the NPDES Permit Part 2.V.B.3.a. but not currently under an IWDP will be visited at the frequency specified. Those facilities listed in Part 2.V.B.3.a.viii. and food establishments inspected by LACDHS will not be included in the program. Facilities listed in Part 2.V.B.3.a.iv. will be inspected as part of the SITE VISIT Program initially to determine if materials, machinery, or products are exposed to stormwater. Where feasible, service station visitations will be made in conjunction with Underground Storage Tank (UST) program inspections. The SFSV will include the following elements as appropriate: a. Obtain consent to enter property; b. Consult with a knowledgeable representative of the facility to explain applicable stormwater regulations; C. Distribute and discuss applicable BMP and educational materials, including information regarding local codes and regulations, and State and Federal permit requirements that may be applicable; d. For Phase I facilities required to file an NOI to abide by the General Industrial Stormwater NPDES Permit, determine if the NOI has in fact been submitted and SWPPP has been prepared; e. Tour the site perimeter, parking lots, exposed storage and work areas to determine if illicit discharges, illicit connections or evidence of non-stormwater discharges have occurred and note any BMPs have been incorporated by the facility; f. Complete the Storm Water Facility Inspection/Site Visit Report Form (ATTACHMENT E - EXAMPLE E.1); g. Discuss the findings with the facility representative and furnish them with a copy of the report form; h. Forward report to the COUNTY's Water Quality Section (CWQS); I. CWQS will enter the information into a database and will ATTACHMENT E forward the database and the hard copies to the CITY on a quarterly basis; j. Unless instructed by the CITY otherwise, CWQS will use the database as the CITY's quarterly submittal to the Regional Board. Deficient conditions and/or violations that fall within the scope of the IWDP program will be reported to the CITY and dealt with under the IW agreemen- with the CITY. The IW/UST Section will investigate any deficient conditions or lack of BMPs at food" establishments currently under IWDP brought to our attention by LACDHS or discovered during normal IWDP inspections. All other conditions outside the scope of the IWDP program will be referred to the CITY. The CITY has the option of requesting additional V -- services by submitting a service„ request through the County. Department of Public Work's Programs Development Division. However, the IW/UST Section cannot take enforcement action unless the CITY adopts a Stormwater Ordinance that covers the condition and empowers the Department to enforce it. All SFSV activity within an IW contract city will be accounted for by a unique job number established for each city. P:\...\unit2\cr1iwp.cty ATTACHMENT E EXAMPLE E.1 o ;3`° CON COUNTY OF LOS ANGELES 0 DEPARTMENT OF PUBLIC WORKS Site/File ENVIRONMENTAL PROGRAMS DIVISION Date bStorm Water Facility InspecnorvSite Visit Report Form Inspection Work Order (n `a �e C . S�Mcr To - Fust inspection 71 Routinc Inspection D Response to Complaint ' FwLbty has closed or new Facility Infornation (see attached) acdity Name: Site Address: Area (R/C) Code: Contact Name: Phone: Business Type/Actway. SIC: Is the facility within the County unincorporated arca 7 ❑ Yes ❑ No City. Is the facility Covered under any other permib7 (Check all that apply) ❑ None o Industrial Waste D Air Quality Haanat business plea ❑ Underground Storage Tanks 13 Aboveground storage tanks 7 Fuc Dept. (Storage) ❑ Hazardous waste generator O Other. Is the facility Covered under a storm water permit7 O Does not need coverage ❑ No, but may need to (Refer to Regional Board) ❑ Individual NPDES ❑ Crentral (filed NOr) Does the facility have a SWPPP7 ❑ Yes ❑ No ACTIVITIES - Check each activity present at the site and evaluate its potential (PPD) APPI-ICABLE EFFECTIVENESS for pollutant discharge: 1 - low potential, 2 - medium potential. 3 - high potmnsl ACTIVITY RATING -► Circled BM IN require your homediate attention - see back of this repot Yd No PPD I A MINIMUM BMPs - APPLICABLE TO ALL FACILITIESI ✓ ] [ 1 I ] O BMPs employed: B. VEHICLE AND EQUIPMENT FUELING [ ] ( ] [ ] O BMPs employed: � 1n:r TV Aw VnTM7KXP ST WACT-TW0JSTFAMCLEANING [ ] [ I [ 1 O ® m BMPs employed:. D. VEHICLE AND EQUIPMENT MAIIiTFSfANCE AND REPAIR I 1 [ 1 [ I ® ® 0 BMPs employed: C nT msr V r nenr "A I TT llAr)TN(} OF MATERIALS [ ] [ ] I 1 I 0 ® ©. (@® ' BMPs employed: i F. OUTDOOR PROCESS EQUIPMENT OPERATIONS AND MAINTENANCE [ ] ( ] I 1 O BMPs employed: G. OUTDOOR STORAGE OF RAW MATERIAIS/P RODUCTSICONTAINERS I ] ( ] [ 1 BMPs employed: rr vr•crcUAl TlP.ATMr)tCpn4AT. ( ] [ 1 [ ] D ® D ® _._...._.. BMPs employed: L CONTAMINATED OR ERODIBLE SURFACE AREAS [ 1 I 1 I 1 D® D BMPs employed: [ 1 [ ] [ 1 O ® D J. BUI 5INO AND GROUNDS MAAITIIi kNCE BMPs employed: [ ] I 1 [ 1 (D w © - K. ROOFTOP EQUIPMENT BMPs employed: 11[ 1 I 1 (D 0© O L. OUTDOOR DRAINAGE FROM INDOORAREAS BMPs employed: © No BMPs used and stornmater pollution likely a Some BMPs used but not effective © Some BMPs used and moderately effective ® Source control BMPs used and very effecttye/structuml BMPs needed (S) AB necessary BMPs used and very effective This -report is not a citation. It is fumi3hW to the facility rcprescruat've to assist in dcsigtung and evaluating Best Management Practices W prevent the runotl of pollutants to the storm drainage system. A reinspection of your facility (o is required)(0 is not required) to review correction of deficiencies noted above. Please call ( ) by between 8:00 a.m. to 930 a.m. to arrange for a reinspection. Facility Repr xntative Signature: I� Inspector. ATTACHMENT F FOOD ESTABLISHMENT SITE VISITS The Los Angeles County Department of Public Works (LACDPW) will be coordinating this program and the Los Angeles County Department of Health Services (LACDHS) will be performing the SITE VISITS for the food establishments along with their existing County Health Code inspection program at a frequency specified in the NPDES PERMIT. A SITE VISIT will include the following elements: a. Tour the site/facility perimeter and complete .the SITE VISIT CHECKLIST form (ATTACHMENT F - EXAMPLE F.1) developed by the COUNTY, LACDHS, and representatives from the food industries; b. Distribute and discuss applicable BMP and educational materials; c. Discuss the findings of the SITE VISIT CHECKLIST with the facility representative and furnish them with a copy of the report form; d. Consult with a representative of the facility to explain applicable stormwater regulations, or refer them to LACDPW stormwater staff or the CITY; e. Forward a copy of the report form to LACDPW; f. LACDPW- will enter information into a database and will forward the database and the hard copies to the CITY on a quarterly basis; g. Unless instructed by the CITY otherwise, LACDPW will use the database as the CITY'S quarterly submittal to the Regional Board; h. Any possible follow-up action as a result of the SITE VISIT will be forwarded to the CITY. Such follow-up action is the responsibility of the CITY. p:\...\unit2\dhsfood.wpd y�,oetFscoGi ATTACHMENT F ° = STORMWATER PROGRAM * FOOD ESTABLISHMENTS EXAMPLE F.1 �y PUal1C WORKS . 0 SITE VISIT CHECKLIST \S°M<e Znav ,`OWNER ADNBUSINESS INFORMATION Business Name : Phone No, : Owner / Manager Name : Computer No. : Business Address: City: Major Cross Street : Operation Hours. Is the facility within the County unincorporated area? ❑ Yes ❑ No Type of Business: ❑ Eating & Drinking Place ❑ Super Market Cl Convenience Store 0 Gas Station w/ Conv. Store E�C,Flk . T Rt1GITIC.us W'0)**'•I�gO�MA �('m' �R�Y£,3�+j�}+'- eME'wxy Y9#yJ 4w.o+r ea..45t IfA {< rr-.nr ydt4*h{'+��.s§-- ,..':. 1 Is a trash bin shared with another business? ❑Yes ❑ No 2. Is parking area shared with another business? 0 Yes ❑ No CONDITION 3. Clean-up of parking area by: ❑ Bus. Owner 0 Prop. Owner ❑ Other A. STORAGE AREAS No Such Area No Problem Spill & Leak Overflow Not Covered Other 4.'rrash Container 0 0 0 0 ❑ ❑ 5. Oil & Grease Disposal 0 0 0 0 0 ❑ 6. Haz Mat/ Cleaning Products ❑ 0 1 0 0 0 ❑ Accumulated B. GENERAL SANITATION Trash Standing Fluid Grease/Motor Oil Other 7. Parking Areas 0 0 0 0 0 ❑ 8, Storm Drain / Inlet on the property 0 ❑ ❑ ❑ 0 ❑ 9. Outside Eating Areas ❑ 0 0 0 ❑ ❑ C. CLEANING PRACTICES Yes No 10. Evidence of washing off kitchen equipment/ floor mats and allowing runoff to enter into the storm drain/ inlet. ❑ ❑ 11. Inappropriate disposal of wash water. ❑ 0 12. Evidence of washing off parking lot / open area and allowing runoff to enter into the storm drain / inlet. 0 0 13. Method of Oil and Grease disposal? ❑ None generated ❑ Recycling Co. ❑ Other 14. Additional Comments: District Office No.: Inspector's Name: Inspection Date: ....q _�1 .� _ u�a.(l♦11V1\ l _ (To be f111ed out 6y LACDPW staff)' 1. Watershed ❑ Sta. Clara ❑ L.A. River 0 SanGabricl ❑ Dominguez Ch. ❑ Malibu Ck. ❑ Ballona Ck. 2. Applicable SIC Code 0581 ( Eating & Drinking Place ) 0 541 ( Grocery/Cony Store ) ❑ 554 (Gas Station) Action ❑ Additional Educational Materials Forwarded ❑ Other ... o,.i m u¢ r_os 'ng"" Chanty Depanmau or 1'ublte Works II.A('DPW). Ennnmmental programs Division 'ru rerun ari illegal discharge aur rbc dram call I - 888 - CLBAN LA Pur general udbr manors about local cities' snimw'ater progrmn. call your local agency direcily ^ If MI's defined as current pru'nees rhat ducoly or uiduealY reduce smrm.varer / urban it tl polluno...n.. rhe worn, drams 'K-IKrtl 0PW Re, 11!97