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Outfall Reconnaissance Inventory/Sample Collection Field Sheet
Section 1: Background Data
Subwatershed: Outfall ID: Outfall not in
inventory: 1
Today’s date: Time (Military):
Investigators: Form completed by:
Temperature: Rainfall (in.): Last 24 hours: Last 48 hours:
Latitude: Longitude: GPS Unit: Location as
mapped: C1
Camera: Photo #s:
Land Use in Drainage Area (Check all that apply): Maintenance Priority:
CO Industrial CJ Open Space (| Priority 1 O)Priority2 O
Priority 3
C] Urban Residential C1 Institutional nionity
Notes:
C1 Suburban Residential Other:
LC] Commercial Known Industries:
Notes (e.g., origin of outfall, if known):
Section 2: Outfall Description
Location Material Shape
LI Closed Pipe LIRCP (CMP CO) Circular LC Single In water:
Opvc OHDPE | O Elliptical “Double _INo
Diameter/Dimensions: C Steel C1 Box CO Triple CL] Partially
CJ Other: C1 Other: C1 Other: CI] Fully
With Sediment:
C1 No
(Partially
C1 Fully
CL] Open drainage C1 Concrete/Paved C1 Trapezoid Depth:
—Fanthen C1 Parabolic Top Width:
rip-rap C1 Other: oaa..
CJ Other: Bottom Width:
J In-Stream (applicable when collecting samples)
Flow Present? C1 Yes C1 No (If No, Skip to Section 5)
Flow Description Ol Trickle [Moderate 1 Substantial
Hic it Discharge Detection and Himination Plan 38
