HomeMy WebLinkAboutFirestone Inspection 3.26.21Public Utilities
r 879 Morro Street, San Luis Obispo. CA 93401-271 n
805 781 7215
SOURCE CONTROL CLASS II INSPECTION REPORT
INSPECTOR(S):
BUSINESS: ��,( �� �._ �'l� DATE:
ADDRESS: �Ull �� PHONE:
CONTACT: PHONE:
BUSINESS OWNER:' f� PHONE:
EMAIL: //1�, lfG'�I�Z Tfi7ar.(C:�r11I?lv.
MAILING ADDRESS:
HYDROMECHANICAL GREASE INTERCEPTOR INSPECTION
CLEANING IS DOCUMENTED ON THE MAINTENANCE LOG? Y I N
GREASE HAULER: ❑ CLAY'S ❑ TRIPLE J ❑ RP ENVIRONMENTAL OTHER:
PREVIOUS 12 MONTHS SERVICE DATES (according to grease hauling receipts):
a,141�1% 1�15
FREQ ENCY:
MAKE/MODEL:
days u�
GREASE CAPACITY: _ pounds FLOW RATE:
lu/ w
gpm 5DyA so CA j
GREASE FACTOR: MEALS PER DAY:
GREASE CAPACITY/(GREASE FACTOR x MEALS PER DAY) =REQUIRED PUMPOUT FREQEUNCY
DOES SERVICE FREQUENCY MATCH CALCULATIONS? Y N
COMMENTS:
days
SOURCE CONTROL CLASS II INSPECTION REPORT (continued)
HOUSEKEEPING
WASTE COOKING OIL IS COLLECTED AND RECYCLED?
N
N/A
"NO GREASE" SIGNS ARE POSTED IN APPROPRIATE LOCATIONS?
N
N/A
ALL FLOOR DRAINS HAVE DRAIN SCREENS?
N
N/A
EXHAUST SYSTEM FILTERS ARE REPLACED OR CLEANED IN PROPER AREA LEADING
TO GREASE TRAP/INTERCEPTOR?
cy-D
N
N/A
BEST MANAGEMENT PRACTICES (BMPs) ARE BEING IMPLEMENTED TO PREVENT
GREASE FROM ENTERING THE SEWER?
Y
STORMWATER
WASTEWATER FROM PRESSURE WASHING IS CONTAINED AND VACUUMED TO
PREVENT ILLICIT DISHARGE? 0Y
N N/A
WASTEWATER FROM WASHING FLOOR MATS IS PERFORMED INDOORS? N N/A
OUTDOOR USED OIL STORAGE AREA IS PROPERLY MAINTAINED TO PREVENT
STORMWATER RUN OFF? { Y } N N/A
TRASH AREA/DUMPSTER LIDS ARE CLOSED, IS IN GOOD CONDITION, NO SIGNS OF
LEAKS? oyN N/A
OBSERVATIONS: �, C0 &00Y � 1 � 7 U'x.Z .�
VIOLATIONS:
1)
2)
ACTION ITEMS FOR INDUSTRIAL USER:
1)
2)
3)
FOLLOW-UP INSPECTION REQUIRED:
YES
DELIVERY ETHOD OF INSPECTION REPORT:
1 declare t t I ha .e r d a erceived a
PRINT: )' V �c, �
f�o}pny o
W 1 l
SIGNATURE: _.
3)
4)
DUE DATE:
LN°
COPY AT FACILITY { �EMJAIL
this report.
DATE:
�'2j,4Z r