Form 605-006 - Annual Comprehensive Site Compliance Evaluation Report Page 2
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4Annual Comprehensive Site Compliance Evaluation Report - Part B
Page 1.
Reporting Period: ______________________________.
How many routine facility inspections did you perform during the reporting period? ___________
How many corrective actions (Part 4.2.17.3) to remove the original violation and document these actions
according to corrective action deadlines?
Date
Deficiencies
Corrected (Y or N)
Date Corrected
______________
_________________________
__________
____________
______________
_________________________
__________
____________
______________
_________________________
__________
____________
______________
_________________________
__________
____________
What must you do to correct the deficiencies that remain uncorrected?
______________________________________________________________________________
_____________________________________________________________________________
_
Were all BMPs you indicated you would be using in your SWP3 (Part 4.2.8) including good housekeeping
practices, actually being implemented at the time of the Annual Comprehensive Site Compliance Evaluation?
Yes _____ No_____
If one or more BMPs were not being implemented, were corrective actions taken after the FIRST inspection to
find the problem?
Yes _____ No_____
All BMPs were being implemented ______
Was/were the same failure(s) to implement a BMP deficiency(ies) noted in more than one inspection?
Yes _____ No_____
No deficiencies noted in any inspection ________
Did any of your routine facility inspections find that one or more of your BMPs was not effective in controlling
the pollutant source for which it was designed?
Yes _____ No_____
All BMPs were effective ______
If you found one or more ineffective BMPs, have they all been replaced with an alternative or modified BMP?
Yes _____ No_____
All BMPs were being effective ______
Is there additional BMPs needed to address any conditions requiring corrective action?
Yes _____ No_____
At any time during the reporting period, did you discover any previously unidentified illicit discharges from
your facility or previously unidentified pollutants in the existing discharges?
Yes _____ No_____
Have all illicit discharges (including any discovered in previous years) been eliminated or permitted?
Yes _____ No_____
Permit applied for ______
No known illicit discharges ______
Have any significant spills or leaks occurred at your facility during the reporting period?
Yes _____ No_____
If any significant spills or leaks occurred, did they result in either a dry weather discharge or an actual
discharge of the spilled or leaked material commingled with storm water (as opposed to the spilled material
being washed away by storm water?)
Yes _____ No_____
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