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Stormwater Conveyance System Evaluation for the Presence of Non-Stormwater Discharges <br /> Date of Evaluation: <br /> Person Doing Evaluation: <br /> Evaluation Criteria Used: <br /> Outfall/ Non- Type of Non- Non-Stormwater Corrective Action Taken and notes <br /> Drainage Point Stormwater Stormwater Source Location (identify measures taken to eliminate <br /> Observed Discharge Discharge unauthorized non-stormwater discharge) <br /> Present? <br /> 1 O Yes <br /> O No <br /> 2 O Yes <br /> O No <br /> 3 O Yes <br /> O No <br /> 4 O Yes <br /> O No <br /> 5 O Yes <br /> O No <br /> 6 O Yes <br /> O No <br /> 7 O Yes <br /> O No <br /> 8 O Yes <br /> O No <br /> 9 O Yes <br /> 0 No <br />