Fillable INDUSTRIAL USER INSPECTION CHECKLIST (City of Baton Rouge / Parish of East Baton Rouge)

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INDUSTRIAL USER INSPECTION CHECKLIST (City of Baton Rouge / Parish of East Baton Rouge)

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INDUSTRIAL USER INSPECTION CHECKLIST
I. General Inspection Information
Name of industry:
Date of visit: Visit start time: Visit end time:
Inspection Type/Purpose
□
Scheduled
□
Unscheduled
□
Enforcement
□
Complaint
□
New Company
□
Follow-up
□
Permit Renewal
□
Spill/Slug
Name of inspectors/affiliation:
Printed name: Signature Date:
Last inspection date:
Inspected by:
Did the previous inspection identify deficiencies that the industrial user was required to correct?
□
Yes
□
No
Were deficiencies corrected?
□
Yes
□
No
Explain:
List all observed noncompliance issues and any corrective action that has been taken, or is planned:
Provide the name(s) and title(s) of industry representative(s)
Printed Name(s) Email(s) Signature Date:
II. General Facility Information
Physical address of industry:
Mailing address of industry:
IU Permit Number: Permit Exp. Date: IU Classification(s): NAICS Code(s):
Is the industrial user permit on file at the facility?
□
Yes
□
No
If the facility is a CIU, is it correctly categorized?
□
Yes
□
No
Explain:
Nature of operation and reason for industrial user classification:
Number of employees: Number of shifts: Hours of operation/Days per week:
Are there scheduled shut down periods
□
Yes
□
No
When:
Seasonal production?
□
Yes
□
No
When:
Number of wastewater discharge points to the POTW:
All discharge points accounted for?
□
Yes
□
No
If no, explain:
III. Production/Process Areas
Comprehensive process description (identify raw materials, processes used, products produced/amount of finished product, and
wastes and their destination; attach a process diagram if available) or if in City’s file, so reference:
Describe any substantial changes in manufacturing processes (changes that have occurred and changes that are planned):
Production and flows verified for Production-Based CIUs?
□
Yes
□
No
Has there been any production or flow changes since the last inspection?
□
Yes
□
No
If yes to either, has production or flow increased or decreased greater than 20%
□
Yes
□
No
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Did the industrial user report changes in process(es) to the POTW? □ Yes □ No □ N/A
Describe the condition of process area(s):
Describe any housekeeping concerns:
Do floor drains/troughs lead to the POTW? □ Yes □ No
Are incompatible process/raw materials separated? □ Yes □ No
Are pipes labeled/color coded with directional flow arrows for easy identification? □ Yes □ No
Are temporary hoses in place as part of production? □ Yes □ No
Is a comprehensive piping diagram available at the facility? □ Yes □ No
Are process tanks labelled? □ Yes □ No □ N/A
Are storage tanks labelled? □ Yes □ No □ N/A
Is the industrial user meeting its best management practices requirements? □ Yes □ No □ N/A
How often is the production area cleaned?
What chemicals are used in the cleaning of the production area?
Is the wastewater generated from cleaning the production area discharged to the POTW? □ Yes □ No □ N/A
Attach a schematic description of the production process(es) at the facility (or if in City’s file, so reference).
IV. Wastewater Production
Water source(s):
Water usage:
Is water consumption balanced with wastewater production? □ Yes □ No
Explain:
Wastestream flow(s) discharged to the POTW (describe and include flow when available):
Production process(es):
Contact cooling water:
Boiler blowdown/makeup:
Evaporation (loss):
Non-contact cooling water:
Lawn maintenance/Irrigation (loss):
Are there any diversion meters in use (credit given for water used in final product, evaporation or lawn care)? □ Yes □ No
Sanitary:
Wastewater hauled offsite (include names of haulers and destination):
Other:
Sanitary: (gpd) Process: (gpd) Combined: (gpd)
Describe any substantial changes in wastewater flow (changes that have occurred and changes that are planned):
Did the industrial user report changes in wastewater flow to the POTW? □ Yes □ No □ N/A
Is dilution of the wastewater stream occurring, or is there any potential for dilution? □ Yes □ No
Attach a comprehensive schematic of wastewater production and wastewater discharge points to the POTW’s system or if in City’s
file, so reference.
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V. Pretreatment System
Does the industrial user treat its process wastewater prior to discharge to the POTW? □ Yes □ No □ N/A
Type of pretreatment system (Describe and include comprehensive schematic description if available or if in City’s file, so
reference):
Check which of the following are utilized for pretreatment prior to discharge to sanitary sewer:
□ Dissolved air floatation □ Membrane Tech. □ Ion Exchange □ Biological Treatment
□ Centrifugation □ Flow Equalization □ Ozonation □ Chlorinating
□ Chemical Precipitation
w/Clarifier
□ Oil/Water Separation □ Reverse Osmosis □ Grit Removal
□ Sludge Filter Press □ Grease Trap □ Rotary Macro Screen □ Solvent Distillation
□ pH Adjustment □ Sand Trap □ Sedimentation □ Silver Recovery
□ Belt/Disk/Rope Oil
Skimmer
□ CN Destruct □ Hex Cr Reduction □ Segregation of Streams
□ Surfactants □ Work Tank Agitation □ De-Foaming □ Chelating Agents
□ Continuous flow □ Batch □ Combined
Condition/operation of pretreatment system: □ Good □ Fair □ Poor
Explain condition rating:
Are equipment maintenance records maintained and available for review? □ Yes □ No □ N/A
Are equipment calibration records available, and are calibration frequencies adequate? □ Yes □ No □ N/A
Does the industrial user have a critical spare parts inventory? □ Yes □ No □ N/A
Is the detention time/mixing time in the pretreatment system adequate? □ Yes □ No □ N/A
Is the pH monitoring system working properly? □ Yes □ No □ N/A
Does the industrial user have a continuous pH monitoring system? □ Yes □ No □ N/A
Is the pretreatment system operator trained and certified? □ Yes □ No □ N/A
Is there an operator for each shift? □ Yes □ No □ N/A
Has the system experienced operational/upset problems since the last inspection? □ Yes □ No □ N/A
Describe:
VI. Slug/Spill Controls, Best Management Practices
Who has the authority to halt the discharge from the facility should a spill or slug discharge occur?
How are employees informed of whom to call at the POTW in case of a spill or slug discharge?
Is the facility required to implement a slug discharge control plan? □ Yes □ No □ N/A
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If a slug plan is not currently required, should one be? □ Yes □ No
Explain:
Is the slug discharge control plan appropriate for current conditions? □ Yes □ No □ N/A
Does the permit require or allow BMPs? □ Required ? □ Allowed? □ Voluntary? □ NA
Types of BMPs
□ Installation of treatment
□ Prohibitions on certain practices, activities or discharges
□ Requirements for operation and maintenance of treatment units
□ Timeframes associated with key activities
□ Compliance certification, reporting and records retention
□ Slug discharge control plan
□ Solvent management plan
□ Other
Description of Required BMPs:
Description of Allowed BMPs:
Description of Voluntary BMPs:
P2 Equipment/Practices in use:
□ Overflow Alarms □ Aqueous Cleaning Solutions
□ Fog/Halo Spray Rinsing □ Countercurrent Cascade Rinsing
□ Dragout Collection Trays □ Seal-Less Pumps
□ Air Jets/Curtains □ Horizontal Work Tank Negative Air Blankets
□ Electrolytic Recovery □ Cartridge or Membrane Filtration
□ Aqueous Paint Stripping Solutions □ Bead/Powder Blast Paint Removal
□ Biocide Addition to Lengthen Coolant Life □ Centrifugation of Machining Coolant
□ Flow Restrictors □ Overspray Recycle
□ In-Situ Recycle (Ion Exchange, Reverse Osmosis) □ Conductivity Probes
□ Dead/Stagnant Rinse Tanks □ Evaporation
Are BMPs installed correctly? □ Yes □ No □ N/A
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If Yes, does the BMP require installation of further treatment technology? □ Yes □ No □ N/A
Explain:
Does facility have its own EMS or a similar version? □ Yes □ No □ N/A
Is the facility ISO 14001 certified? □ Yes □ No □ N/A
Corrective actions necessary? □ Yes □ No □ N/A
Explain:
Completion Date:
VII. Chemical Storage
Chemical storage area (identify the chemicals that are maintained on site and how they are stored):
Any floor drains? □ Yes □ No Any spill control measures? □ Yes □ No
Can chemicals reach floor drains if spilled? □ Yes □ No
Is chemical containment needed? □ Yes □ No
How often are floors washed?
What chemicals are used?
How often is equipment washed?
What chemicals are used?
Does the facility have the potential for a slug discharge? □ Yes □ No
Is the facility required to have a slug control program? □ Yes □ No
Is the slug discharge control plan available onsite? □ Yes □ No
Is the slug discharge control plan still adequate? □ Yes □ No
Has the facility had any past slug discharges? □ Yes □ No
Are signs posted to inform employees about improper discharge practices? □ Yes □ No
VIII. Sludge Generation
If the facility generates sludge or hauls regulated wastes, please complete the following information. (If not, go to next section)
Sludge dewatering method (plate/frame filter, belt press,
rotating drum vacuum, centrifuge, indexing paper filters, etc.):
Amount generated (55 gal barrel [bbl]/mo):
Where does the liquid from dewatering go?
Disposal method:
Sludge Storage (bbl): Shipment frequency:
Manifests available?
□ Yes □ No
Sludge hauler(s):
Disposal location(s):
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Is the sludge generated characterized as a hazardous waste? □ Yes □ No
If yes, are hauling manifests available? □ Yes □ No
Is any sludge sent off as a valuable raw material? □ Yes □ No
Examples: Zn sulfate sold to fertilizer mfg.; hydrochloric acid pickle liquor for local POTW’s coagulation and phosphorous
removal; spent sulfuric pickle liquor to formulate with ammonia for fertilizer; Al hydroxide filter cake in alum form for sale to
POTWs; chrome/nickel sludge used to produce ferronickel alloy; etc.
IX. Hazardous Waste Generation
Is hazardous waste generated? □ Yes □ No □ N/A
Is hazardous waste discharged to the POTW? □ Yes □ No □ N/A
Manner of hazardous waste disposal:
Are hazardous wastes drummed and labeled? □ Yes □ No
Are hazardous wastes held onsite for more than 180 days? □ Yes □ No
Does the industrial user have hazardous waste manifests? □ Yes □ No
Any other problems associated with hazardous waste? □ Yes □ No
Explain:
X. Solid Waste Production
Are solid wastes (other than sludge) produced during manufacturing process? □ Yes □ No
Describe the types and approximate volumes of solid waste produced:
Solid waste disposal method(s):
XI. Monitoring, Recordkeeping, and Reporting
Description of sample location:
Are there any concerns regarding the cleanliness or location of the sampling point? □ Yes □ No
If yes, please explain:
Sampling method/technique:
Evaluation of self-monitoring data: □ Yes □ No □ N/A
If yes, was self-monitoring adequate:
□ Yes □ No □ N/A
If not, explain why data was inadequate.
Who performs the self-monitoring analysis?
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Are the permit requirements appropriate for:
Sample location(s)? □ Yes □ No
If no, explain:
Permit limit(s)? □ Yes □ No
If no, explain:
Sample method? □ Yes □ No
If no, explain:
Sample frequency? □ Yes □ No
If no, explain:
What changes, if any, are needed in the permit?
Samples are analyzed according to 40 CFR part 136 method where they exist? Sample location(s)? □ Yes □ No
If no, Explain:
If alternative test procedures or modified methods are used (40 CFR 136.4-6), were all requirements met?
Samples are analyzed within required holding times? Sample location(s)? □ Yes □ No
Samples are analyzed in-house or contract?
If outside lab, what is the lab name?
Samples are preserved according to 40 CFR part 136? Sample location(s)? □ Yes □ No
Samples in required bottle type per 40 CFR part 136?
Samples are taken during periods of process discharge only? Sample location(s)? □ Yes □ No
Chain-of-custody (COC) form is used? Sample location(s)? □ Yes □ No
If COC is not used, describe documentation:
COC form is filled out properly? Sample location(s)? □ Yes □ No
Record Keeping
All information kept for 3 years? Sample location(s)? □ Yes □ No
All required information (see below) available, current and complete? □ Yes □ No
The date, exact place, method, and time of sampling and the names of the person or persons taking the samples;
The dates analyses were performed;
Who performed the analyses;
The analytical techniques/methods used; and
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The results of such analyses.
Explain:
Reporting
Did the facility report results of any more frequent sampling in the last reporting period? □ Yes □ No
If so, were all results reported?
□ Yes □ No
Comments:
POTW notified of all violations identified by industrial user within 24 hours of becoming aware? □ Yes □ No □ N/A
If NA, does the POTW do all the facility’s monitoring? □ Yes □ No
Resampling results following violations identified by industrial user submitted within 30 days of becoming aware? □ Yes □ No
Do sample results match what is reported by the industry? □ Yes □ No Explain:
Are there any violations that were not reported to the POTW? □ Yes □ No Explain:
Have bypasses been reported?
Have upsets been reported (CIUs)?
XII. Wastestreams Verification/Combined Wastestream Formula
Can flow be measured at all sampling locations? □ Yes □ No
Are flows measured at each sampling location? □ Yes □ No
What type of measuring device is used?
How often are the flow measuring device(s) calibrated?
Is there a calibration log for the flow meter?
Are dilution wastestreams present at the sample location? □ Yes □ No
Is the CWF used at the facility? □ Yes □ No
How are the flows determined?
Is the facility using dilution to meet its effluent limits?
□ Yes □ No
Explain:
Should the facility be using the CWF? □ Yes □ No
Are there any new flows that need to be considered in the application of the CWF? □ Yes □ No
Are there any dilution flows that have not been accounted for? □ Yes □ No
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Certification statement must be in compliance with 40 CFR 403.12 (1) and 40 403.6 (a) (2) (ii) and LAC 33:IX.6123.L and LAC
33:IX.6111.A.2.b “I certify under penalty of law that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering
the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing
violations.”
Comments:
__________________________________ ________________________________
Owner/Representative DES Representative
Facility Personnel Present at Inspection
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INDUSTRIAL USER INSPECTION CHECKLIST (City of Baton Rouge Parish of East Baton Rouge)

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Completed 15 January 2021

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