4: Are Any Physical Indicators Present in the flow? Yes No (If No, Skip to Section 5) CHECK if INDICATOR RELATIVE SEVERITY INDEX (1-3) Present Sewage Rancid/sour Petroleum/gas 3 Noticeable from a – 1 Faint 2 Easily detected – – distance Sulfide Other: Clear Brown Gray Yellow 1 Faint colors in sample 2 Clearly visible in 3 Clearly visible in outfall – – – Color bottle sample bottle flow Green Red Other: Turbidity See severity 1 Slight cloudiness 2 Cloudy 3 Opaque – – – 3 - Some; origin clear (e.g., Floatables 2 Some; indications of – Sewage (Toilet Paper, etc.) Suds 1 Few/slight; origin not obvious oil sheen, – -Does Not Include origin (e.g., possible obvious suds, or floating Petroleum (oil sheen) Other: Trash!! suds or oil sheen) sanitary materials) Section 5: Physical Indicators for Both Flowing and Non-Flowing Outfalls Are physical indicators that are not related to flow present? Yes No (If No, Skip to Section 6) INDICATOR CHECK DESCRIPTION COMMENTS Spalling, Cracking or Chipping Peeling Corrosion Oily Flow Line Paint Other: Abnormal Vegetation Excessive Inhibited Odors Colors Floatables Oil Sheen Poor pool quality Suds Excessive Algae Other: Pipe benthic growth Green Other: Section 6: Overall Outfall Characterization Unlikely Potential (presence of two or more indicators) Suspect (one or more indicators with a severity of 3) Obvious Section 7: Data Collection 1. Sample for the lab? Yes No 2. Sterile sample for bacteria analysis? Yes No 3. If yes, collected from: Flow Pool 4. Sample for optical brightener? Yes No 5. Intermittent flow trap set? Yes No If Yes, type: OBM Caulk dam Section 8: Any Non-Illicit Discharge Concerns (e.g., trash or needed infrastructure repairs)?
4: Are Any Physical Indicators Present in the flow? Yes No (If No, Skip to Section 5) INDICATOR CHECK if Present RELATIVE SEVERITY INDEX (1-3) Sewage Rancid/sour Petroleum/gas Sulfide Other: 1 – Faint 2 – Easily detected 3 – Noticeable from a distance Color Clear Brown Gray Yellow Green Red Other: 1 – Faint colors in sample bottle 2 – Clearly visible in sample bottle 3 – Clearly visible in outfall flow Turbidity See severity 1 – Slight cloudiness 2 – Cloudy 3 – Opaque Floatables -Does Not Include Trash!! Sewage (Toilet Paper, etc.) Suds Petroleum (oil sheen) Other: 1 – Few/slight; origin not obvious 2 – Some; indications of origin (e.g., possible suds or oil sheen) 3 - Some; origin clear (e.g., obvious oil sheen, suds, or floating sanitary materials) Section 5: Physical Indicators for Both Flowing and Non-Flowing Outfalls Are physical indicators that are not related to flow present? Yes No (If No, Skip to Section 6) INDICATOR CHECK DESCRIPTION COMMENTS Spalling, Cracking or Chipping Peeling Corrosion Oily Flow Line Paint Other: Abnormal Vegetation Excessive Inhibited Poor pool quality Odors Colors Floatables Oil Sheen Suds Excessive Algae Other: Pipe benthic growth Green Other: Section 6: Overall Outfall Characterization Unlikely Potential (presence of two or more indicators) Suspect (one or more indicators with a severity of 3) Obvious Section 7: Data Collection 1. Sample for the lab? Yes No 2. Sterile sample for bacteria analysis? Yes No 3. If yes, collected from: Flow Pool 4. Sample for optical brightener? Yes No 5. Intermittent flow trap set? Yes No If Yes, type: OBM Caulk dam Section 8: Any Non-Illicit Discharge Concerns (e.g., trash or needed infrastructure repairs)?
ORI-Field-Form.docx