Stormwater Maintenance Plan 10222025 4920 5008 39592

For Inspector For Maintenance Crew Component No. Inspection Item and Preventative / Corrective Component : Inspected Maintenance Actions Inspection Item No. Name Comments D ipe | Y—5 ownspout or Overflow pipe is clogged N Y__ 6 | Odor present N Storm Sewer = Collection Y_ system 7 Overflow from the top of the casting N Y__ 8 | Storm Collection System N Y__ 9 N Inspector Name File this Corrective Maintenance Record in the Maintenance Log after performing Signature maintenance. Date