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Manufactured Stormwater Treatment Measure <br /> y Inspection and Maintenance Checklist <br /> -1 <br /> < <br /> D Property Owner: Property Address: <br /> 7) <br /> Date of Inspection: Type of Inspection: E Monthly E Pre-Wet Season <br /> o E After heavy runoff E End of Wet Season <br /> ? System Type: <br /> Et; <br /> a <br /> -'n Installer/Contractor: <br /> aTi <br /> c <br /> co <br /> Manufacturer: Inspector(s): <br /> m <br /> co <br /> -o Defect Conditions When Maintenance Is Maintenance Comments (Describe maintenance completed and if Results Expected When <br /> a. Needed needed maintenance was not conducted, note when it will be Maintenance Is Performed <br /> 'm Needed? (Y/N) done) <br /> N <br /> I 1 . Sediment, trash Sediment, trash and debris Sediment, trash and debris <br /> o and debris accumulated in the sedimentation removed from sedimentation <br /> m ° accumulation on basin, riser pipe, retention pipes and basin, riser pipe and filter Ill <br /> an Filter filter bed. Filter does not drain as bed and disposed of <br /> " `D specified. properly. Filter drains per ta <br /> RI' ti design specifications. Empty .a: <br /> 'Es m cartridge should be n <br /> p I reassembled and reinstalled. 1 <br /> ia <br /> T 2. Standing water Manufactured treatment measure Clogs removed from filters, N <br /> does not drain within five days after sedimentation basin, riser -o <br /> O. W <br /> o rainfall. pipe and filter bed. Filter 0 <br /> D drains per design -�- <br /> m specifications. O <br /> PD 3. Mosquitoes Evidence of mosquito larvae in Clogs removed from 0 <br /> y manufactured treatment measure. <br /> sedimentation basin, riser a <br /> m pipe and filter bed. Filter <br /> —i drains per design N <br /> E specifications. <br /> E N <br /> D 4. Miscellaneous Any condition not covered above that Meet the design <br /> needs attention in order for the specifications. 0 <br /> manufactured treatment measure to n <br /> function as designed. N <br /> n <br /> 3 <br /> CD <br /> O <br /> Co <br /> ,, ,,,,„y,,,,,,„,,,ak, ,,,,wM ii. ...w.. m0",. ' (l). Manufactured Treatment Measure Maintenance Plan - Page 3 <br />