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Illicit Connection Inspection Report Form Municipality Information Municipality: County NJPDES # : PI ID #: Team Member: Date Effective Date of Permit Authorization (EDPA): Outfall #: Location: Receiving.

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How to fill out the Illicit Connection Inspection Report Forms online

Filling out the Illicit Connection Inspection Report Forms correctly is essential for proper documentation and compliance. This guide provides a step-by-step approach to complete the form online, ensuring clarity and accuracy in each section.

Follow the steps to fill out the form accurately.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the municipality name and county in the respective fields at the top of the form. This information is crucial for identifying the location of the inspection.
  3. Fill in the NJPDES# and PI ID# to associate the inspection with the proper identification numbers.
  4. Record the name of the team member conducting the inspection and the date of the inspection.
  5. Complete the outfall number and location fields to provide specifics on where the inspection is taking place.
  6. Indicate whether there is a dry weather flow by selecting 'Yes' or 'No'. If 'Yes', provide an estimate of the outfall flow in gallons per minute (gpm).
  7. Assess if there are indications of an intermittent flow. Respond accordingly with 'Yes' or 'No'. Based on your answers, you may skip certain questions.
  8. Proceed to the physical observations section, where you will evaluate and record findings regarding odor, color, turbidity, floatables, deposits, vegetation conditions, and any damage to outfall structures.
  9. In the analysis section, test the outfall flow sample for detergents, ammonia to potassium ratio, fluoride levels, and temperature, and document the results.
  10. Determine if there is a suspected illicit connection by responding with 'Yes' or 'No'. If 'Yes', describe the suspected source.
  11. Confirm if the investigation of the suspected illicit connection has been completed, checking 'Yes' or 'No' as applicable.
  12. If the source was found, identify it and provide a plan of action to eliminate the illicit connection. If not, note that a Closeout Investigation Form must be completed.
  13. Fill in the inspector's name, title, and signature at the bottom of the form along with the date.
  14. Finally, ensure that if there is a dry weather flow or evidence of an intermittent flow, the form will be included with the Annual Report and Certification; otherwise, retain it with your SPPP.

Take the next step and complete your Illicit Connection Inspection Report Forms online today.

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