State of Wisconsin Department of Natural Resources Quarterly Visual Inspection - Field Sheet Form 3400-176A (R 3/01) This form is for your own use and should be kept as part of your Storm Water Pollution.

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How to fill out the Wisconsin Dnr Annual Form 3400 176 online

Filling out the Wisconsin Dnr Annual Form 3400 176 online can contribute to effective storm water management. This guide will help you navigate the form's components with ease and ensure accuracy in your completion.

Follow the steps to successfully complete the form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the facility name in the designated field. Ensure this is the formal name of the establishment to avoid any confusion.
  3. Next, input the street address of the facility. This should include the building number and street name.
  4. Fill in the city and state fields to comply with identification requirements.
  5. Provide the name of the person conducting the inspection in the respective field.
  6. Enter the date of the inspection in the specified format to maintain proper records.
  7. Input the employer's name in the designated section to link the inspection with the proper authority.
  8. Fill in the telephone number for contact purposes if further clarification is needed.
  9. Include the ZIP code of the facility’s location for accurate information.
  10. Designate the outfall number, referencing your site map to ensure accuracy.
  11. Describe the outfall clearly in the respective field, noting its characteristics (e.g., ditch, concrete pipe, etc.).
  12. Document the time of the rainfall event to provide context for the observations.
  13. Record the time of the visual inspection to correlate with rainfall conditions.
  14. (Optional) Indicate the amount of rainfall at the time of observation, using the nearest tenth of an inch.
  15. Describe your observations in detail, including visual characteristics of the storm water sample.
  16. Use the sections provided to note observations for color, odor, clarity, floatables, and deposits/stains.
  17. Lastly, include any comments pertinent to the inspection results, such as reasons why the outfall could not be evaluated.
  18. Once completed, save your changes. You can also download, print, or share the form as needed.

Complete your Wisconsin Dnr Annual Form 3400 176 online today for effective storm water management!

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