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City of Rosemead IC Inspection Form
Prepared for:
Submitted Time: 2026-04-29 21:54:54
Current Source
Status:
Inspection Information
| Submission ID | form-46-20260429-215454 |
|---|---|
| Inspector | Johnny |
| Date | 2026-04-06 |
| Inspection Type | Routine |
Facility Information
| Business Name | |
|---|---|
| Business Address | |
| City | |
| State | |
| Zip | |
| Type of Business | |
| Business Assistance / Outreach Activity Undertaken | Yes |
| Materials Provided | Yes |
Contact Information
| Contact Name | |
|---|---|
| Phone | |
SIC & NAICS
| SIC # | 555 |
|---|---|
| Revisions to SIC # Information? | Yes |
| New SIC Number | 999 |
| SIC Change Suggested By | Business |
| SIC Reason | reason |
| NAICS # | 666 |
| Revisions to NAICS # Information? | Yes |
| New NAICS Number | 222 |
| NAICS Change Suggested By | Inspector |
| NAICS Reason | reason2 |
Permit Status
| Permit Filed | Not Applicable |
|---|---|
| Date Filed | |
| Waste Discharge ID (WDID) # | |
| Last Inspection Date | |
| SWPPP & MIP Onsite | Yes |
Water Quality Related Information and Observations
| Initial Receiving Water | Alhambra Wash |
|---|---|
| TMDL or 303(d) Listed | Yes |
| Potential to Contribute to Receiving Water Impairments | Likely |
| Activities Potentially Exposed to Stormwater | Likely |
| Actual or Potential IC/ID Observed | No |
| Actual or Potential Non-Stormwater Discharge Noted | No |
| 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.
Inspection Summary
| Activities / BMP Effectiveness Assessment | |
|---|---|
| Follow-up Required? | |
| Conditions Warrant Referral |
Photos
Report Notes
| Notes |
|---|