Georgia FOG Alliance Awards Program Inspection Form

Georgia FOG Alliance Awards Program Inspection Form A. Administration 1 Is there a copy of the Sewer Use Ordinance available? 0 1 2 3 4 ( Written 2, Web 3, Downloadable 4 ) 2 Does the program have a written FOG management policy included in the 0 1 2 3 4 Sewer Use Ordinance? ( Written 2, Web 3, Downloadable 4 ) 3 How would you qualify the FOG Management Policy? 0 1 2 3 4 4 Has the program been approved by the city/county attorney or other entity? 0 1 2 3 4 5 Does the program have an organizational chart? 0 1 2 3 4 6 Does program have defined job descriptions? 0 1 2 3 4 7 Does program have written SOP's for each program function? 0 1 2 3 4 8 How would you rate these SOP's? 0 1 2 3 4 9 Does the program have a specific procedure in place to identify specific targets 0 1 2 3 4 and control? 10 Does the program work with other inter departments and at what level would this 0 1 2 3 4 be rated at? 11 Does the program address interjurisditional agreements with other FOG programs 0 1 2 3 4 in connecting counties? 12 Is there sufficient staff to facility ratio? 0 1 2 3 4 13 Do employees receive regularly scheduled training? 0 1 2 3 4 14 Are there specific procedures and training for new employees? 0 1 2 3 4 15 Are records of this documented training available for review? 0 1 2 3 4 16 Does the program have an established local limit for oil and grease? 0 1 2 3 4 Page 1 of 10

B. Engineering FSE 1 Does the program have minimal requirements for separators such as size, strength 0 1 2 3 4 rating, load bearing? 2 Does the program have design details for their separator requirements? 0 1 2 3 4 3 Is the program available on the website for customers and developers? 0 1 2 3 4 4 Does the program have an approval process? 0 1 2 3 4 5 How would you rate this approval process? 0 1 2 3 4 6 Are there records of these approvals available for review? 0 1 2 3 4 7 Does the FOG program have a separator sizing procedure? 0 1 2 3 4 8 How would you rate these sizing procedures? 0 1 2 3 4 9 Does the sizing criteria consider the potential FOG loading based on the type of facility? 0 1 2 3 4 10 Has the program separator sizing criteria and procedures been reviewed and approved 0 1 2 3 4 by the water authority and/or city/county building code department? 11 Does the program coordinate and have meetings with the local health department as 0 1 2 3 4 well as code enforcement? 12 Does program have a written upgrade program for older and undersized separators? 0 1 2 3 4 13 Does the program have minimal FOG control equipment installation requirements? 0 1 2 3 4 14 Is there a written policy to require complete and total pumping of the separator? 0 1 2 3 4 Page 2 of 10

C. Engineering OWS 1 Does the program have minimal requirements for separators such as size, strength 0 1 2 3 4 rating, load bearing? 2 Does the program have design details for their separator requirements? 0 1 2 3 4 3 Is the program available on the website for customers and developers? 0 1 2 3 4 4 Does the program have a plan review and approval process? 0 1 2 3 4 5 How would you rate this approval process? 0 1 2 3 4 6 Are there records of these approvals available for review? 0 1 2 3 4 7 Does the program have procedures for proper sizing of separators? 0 1 2 3 4 8 Does this sizing program address retention rates at the peak 8 hour flow rate? 0 1 2 3 4 9 How would you rate these sizing procedures? 0 1 2 3 4 10 Does the sizing criteria consider the potential FOG loading based on the type of facility? 0 1 2 3 4 11 Has the program separator sizing criteria and procedures been reviewed and approved 0 1 2 3 4 by the water authority and/or city/county building code department? 12 Does the program work with the local city/county code enforcement and/or 0 1 2 3 4 building department? 13 Does program have a written upgrade program for older and undersized separators? 0 1 2 3 4 14 Does the program have minimal FOG control equipment installation requirements? 0 1 2 3 4 15 Is there a policy in place for proper sizing and design of oil/water separators and/or 0 1 2 3 4 sand/grit interceptors for car wash and automotive maintenance facilities? 16 Does the program encourage or require car wash facilities to install a reclaim system 0 1 2 3 4 for water conservation purposes? 17 Does the program have a SIC list for all OWS facilities? 0 1 2 3 4 18 Is there a written policy to require complete and total pumping of the separator? 0 1 2 3 4 Page 3 of 10

D. Inspections FSE 1 Does the program have an inspection checklist? 0 1 2 3 4 2 Is there a copy available and was it reviewed? 0 1 2 3 4 3 Are inspector(s) required to wear identification at all times? 0 1 2 3 4 4 Is it the policy of the inspector to leave a copy of this inspection checklist left 0 1 2 3 4 with the FSE after the inspection? 5 Are information packets that include education materials available for all FSEs? 0 1 2 3 4 6 Do inspectors have routing procedures and how would you rate its effectiveness? 0 1 2 3 4 7 Does the program have a grease separator loading rule? 0 1 2 3 4 8 Do inspectors use a device to measure the solids in the separator? 0 1 2 3 4 9 Is the inspector(s) equipment in good working condition? 0 1 2 3 4 10 Is it the programs policy to always check and verify the most recent manifest? 0 1 2 3 4 11 Do the inspectors always look for signs of spills and illegal dumping? 0 1 2 3 4 12 Does the inspector(s) evaluate the loading on the separators by the procedures of 0 1 2 3 4 the facility during the inspection? 13 Does the inspector(s) look for areas that might allow stormwater into the system? 0 1 2 3 4 14 Does the inspector(s) check the downstream manhole for evidence of short circuiting? 0 1 2 3 4 Page 4 of 10

E. Inspections OWS 1 Does the program have an inspection checklist? 0 1 2 3 4 2 Is there a copy available and was it reviewed? 0 1 2 3 4 3 Are inspector(s) required to wear identification at all times? 0 1 2 3 4 4 Is it the policy of the inspector to leave a copy of this inspection checklist left 0 1 2 3 4 with the car wash or auto repair shop after the inspection? 5 Are information packets that include education materials available for all OWS facilities? 0 1 2 3 4 6Do inspectors inspect these facilities at a minimum annually? 0 1 2 3 4 7 Does the program have an oil/water separator loading rule? 0 1 2 3 4 8Do inspectors use a device to measure the solids in the separator? 0 1 2 3 4 9Is the inspector(s) equipment in good working condition? 0 1 2 3 4 10 Is it the programs policy to always check and verify the most recent manifest? 0 1 2 3 4 11 Does the program encourage a recyclable oil, hydraulic fluid, antifreeze program 0 1 2 3 4 for auto repair and truckline facilities? 12 Do the inspectors always look for signs of drainage or runoff into storm drains? 0 1 2 3 4 13 Does the inspector(s) evaluate the loading on the separators by the procedures of 0 1 2 3 4 the facility during the inspection? Page 5 of 10

F. Waste Management Plan/ Pollution Prevention Plan 1Is there a policy in place to limit garbage grinders at FOG producing facilities? 0 1 2 3 4 2 Does the FOG program encourage a recyclable yellow grease program? 0 1 2 3 4 3 Are flow controls required on interceptors that require a flow control? 0 1 2 3 4 4 Does the program encourage low flow nozzles and sink strainers? 0 1 2 3 4 5 Does the program prohibit the use of chemical treatments and additives? 0 1 2 3 4 6 Does the program prohibit the use of emulsifiers and certain types of enzymes? 0 1 2 3 4 7 Does the program require dry wiping of pans, trays and parts tubs in FSEs, auto 0 1 2 3 4 repair shop and truckline facilities? 8 Does the program regulate high phosphorus soaps and cleaners from truck wash 0 1 2 3 4 facilities? 9Is there a written maintenance policy for FOG producing facilities in the ordinance? 0 1 2 3 4 10 Is there a minimum standards for pumping frequency written in the ordinance? 0 1 2 3 4 Page 6 of 10

G. Tracking 1 Does the program have a database for tracking FOG producing facilities? 0 1 2 3 4 2 How would you rate the effectiveness of the database? 0 1 2 3 4 3 Does the program have a way of tracking inspections? 0 1 2 3 4 4 How would you rate this tracking ability? 0 1 2 3 4 5 Does the program track manifests? 0 1 2 3 4 6Is cleaning frequency of the separators tracked? 0 1 2 3 4 7 Does the program track facilities that recycle yellow grease and where it is 0 1 2 3 4 disposed? 8 Does the program encourage and/or track facilities that use low flow nozzles? 0 1 2 3 4 9 Does the program track car washes that use recycled or reclaimed water? 0 1 2 3 4 10 Does the program track FOG certification numbers of pumpers that haul in their 0 1 2 3 4 county or city? 11 Does the program check to make sure the disposal facility is permitted to receive 0 1 2 3 4 this waste? Page 7 of 10

H. Enforcement 1 Does the program have an Enforcement Response Plan? 0 1 2 3 4 2 Has this plan been approved? 0 1 2 3 4 3 Does the program have written compliance requirements for FOG facilities? 0 1 2 3 4 4 Are compliance records kept and available for review? 0 1 2 3 4 5 Does the ordinance have a written appeals process for these facilities? 0 1 2 3 4 6 Does the program offer BMP's in lieu of increased frequency and enforcement remedies 0 1 2 3 4 7 Does the program work with Code Enforcement and Environmental Health agencies? 0 1 2 3 4 8 Does the program have annual meetings with these agencies to cover any 0 1 2 3 4 changes in policy? I. Laboratory and Sampling 1 Does the program include sampling of FOG producing facilities for oil and grease? 0 1 2 3 4 2 Does the program include sampling of FOG producing facilities for ph? 0 1 2 3 4 3 Are records kept of any solids test or sampling of any facility? 0 1 2 3 4 4 If so, do these records identify date, time, sampling location and sampling personnel? 0 1 2 3 4 5 Are proper testing or sampling procedures followed? 0 1 2 3 4 Page 8 of 10

J. CMOM 1 Does the program have a written CMOM program? 0 1 2 3 4 2 How would you rate this program? 0 1 2 3 4 3 Does the program have written spill reporting procedures? 0 1 2 3 4 4 How would you rate this program? 0 1 2 3 4 5 Is there an effective collection system/fog department relationship? 0 1 2 3 4 K. Education 1 Does the program have a public outreach program? 0 1 2 3 4 2 How would you rate this program? 0 1 2 3 4 3 Does the program offer public education on its website? 0 1 2 3 4 4 Does the education program teach students at schools and community centers? 0 1 2 3 4 5 Do employees pass out flyers to residences, apartments and FSE's? 0 1 2 3 4 6 Are any FOG personnel state certified? 0 1 2 3 4 7 Does the program offer a public amnesty day for the proper disposal of harmful wastes? 0 1 2 3 4 Page 9 of 10

L. Safety 1 Does the program have a written safety policy? 0 1 2 3 4 2 Does each vehicle have safety equipment such as a first aid kit, fire extinguisher, etc.? 0 1 2 3 4 3 Does each employee have proper PPE? 0 1 2 3 4 4 Does each employee have documented safety training? 0 1 2 3 4 5 Is there an accident/incident tracking and review program? 0 1 2 3 4 6 Is there a safety incentive program in place? 0 1 2 3 4 7 Does the program have a written health and safety hygiene program? 0 1 2 3 4 8 Are employees trained annually in confined space entry and is it documented? 0 1 2 3 4 Page 10 of 10