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Default Rosemead Header

City of Rosemead IC Inspection Form

Prepared for:

Submitted Time: 2026-05-06 22:52:20
Current Source Status:

Inspection Information

Submission IDform-46-20260506-225220
Inspector
Date
Inspection TypeRoutine

Facility Information

Business Name
Business Address
City
State
Zip
Type of Business
Business Assistance / Outreach Activity UndertakenYes
Materials ProvidedYes

Contact Information

Contact Name
Phone
Email

SIC & NAICS

SIC #
Revisions to SIC # Information?No
NAICS #
Revisions to NAICS # Information?No

Permit Status

Permit FiledNot Applicable
Date Filed
Waste Discharge ID (WDID) #
Last Inspection Date
SWPPP & MIP OnsiteYes

Water Quality Related Information and Observations

Initial Receiving WaterAlhambra Wash
TMDL or 303(d) ListedYes
Potential to Contribute to Receiving Water ImpairmentsLikely
Activities Potentially Exposed to StormwaterLikely
Actual or Potential IC/ID ObservedNo
Actual or Potential Non-Stormwater Discharge NotedNo
Inspection Status

Minimum Source Control BMPs Assessment Checklist

Template syntax: inserts a value, shows a block when a value exists, and shows a block when a field matches a specific value.

J. Other Observed or Recommended BMPs

Other 164868
Implementation 1Partially Implemented
Comments 164868
Other 2648
Implementation 2Not Implemented
Comments 2686846

Inspection Summary

Activities / BMP Effectiveness Assessmenti6i674i
Follow-up Required?Yes
Follow-up On or Before2026-05-05
Corrective or Additional Actions Requiredi6i6
If Follow-up or Violation Inspection, Were Deficiencies Corrected?
Conditions Warrant ReferralPublic Works

Photos

Report Notes

Notes
Default Footer Submission ID: form-46-20260506-225220 Inspection Date: Generated: 2026-06-27 01:10:42 Generated from Submission Bridge record.
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