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Stormwater Inspection Short Form (Heave Industryl <br />Stormwater Program (W QCD-B2-PE) <br />Phone (303) 692-3575 Fax (303) 782-0390 <br />Email: cdpheWQStorm@cdphe.state.co.ns <br />Name of facility: <br />CDPS#: COR-02_ <br />11VL111011V11 <br />city: Keea7esburq_ county: We ~~ Address/Directions: 13 ~ R S VJeI~ <br />Covrt-l-y 2oQOP b I <br />Name(s)of site Representative(s): ~n MaG I~oNalc~ phone:(3o3) Z77-3455 <br />(If not pemutted. Owner or Operator) T ~~ <br />Company Name: Coors Enerc~ v Co m pan v Name of Responsible Official: ~oh Ma c Vona <br />Title of Responsible Official: Myr,; F pfd/ erv~`ces Phone: (303) 277- 3455 <br />Address: P. e , P, o x 46'7. (70 (c~n,n . /' b fl o A-0 2 <br />Don MacLbnq(d j~cn K~p~~~'oors <br />Inspector(s):~~~en~Oerr~ Persons present: Cincl.' ~"•<' /ieyavr~ ~~y1p+fE' <br />Date conducted: 3 / !O / OS Pictures Taken? Yes <br />Records <br />Copy of SWMP confirmed on site? Yes No <br />Site Inspection <br />BMPs implemented for sormwater diversion azound potential pollution sources? <br />Notes: Yes No <br /> <br />BMPs implemented for materials handling, spill prevention, and spill cleanup? <br />Notes: Yes No <br /> <br />BMPs implemented for sediment and erosion prevention? <br />Notes: Yes No <br /> <br />BMPs implemented for good housekeeping? <br />Notes: Yes No <br /> <br />BMPs implemented for inspection and maintenance of sormwater management devices? <br />Notes: Yes No <br /> <br />Evidence of offsite transport of sediment or other pollutants? <br />Notes: ,Yes- No <br /> <br />Evidence of offsite transport of sediment or other pollutants reaching state waters? <br />Notes: Yes o <br /> <br />Comments: raCi'~~'~ %s no f consic~erec,~ -~ reovire a, s vin <br />~f-pN dr'c~,(n .-aP fler.vtlf. <br /> <br /> <br />- ~ <br />