J_2024 05 09_West Orange Stormwater Management Plan

Corrective Maintenance Record 1. Work Order # ______________________ Date Issued _____________ 2. Issue to be resolved: 3. The issue was from Corresponding Checklist ________, Component No. ______, Inspection Item No. _____ . 4. Required Actions Actions Install new bolts to fix the orifice plate Repair/replace the trash rack Restabilize side slope (indicate location) Repair riprap apron with 100 cubic yards of aggregate Revegetate Planned Date Date Completed 5. Responsible person(s): _____________________________________________________________ 6. Special requirements o Time of the season or weather condition :__________________________ o Tools/equipment:_____________________________________________ o Subcontractor (name or specific type):_____________________________ Approved by ___________________/_______________ Date _____________ (name/signature) Verification of completion by ____________/________ Date _____________ (name/signature) File this Corrective Maintenance Record in the Maintenance Log after performing maintenance. April 2015 Bioretention System Page 45/49