JMA02P003 262 270 Main Street Development Stormwater Management Report

Komline AquaShield AQUA-PONIC™ INSPECTION & MAINTENANCE LOG MAINTENANCE COMPANY INFORMATION | Company Name: Street Address: City: State/Prov.: Zip/Postal Code: Contact: Title: Office Phone: Cell Phone: ACTIVITY LOG Date of Cleaning: Time of Cleaning: Start: End: Date of Next Inspection: Floatable debris present: Yes No Action taken: Oil present: Yes No Action taken: Filter Media Needs Replacement: Yes No Structural damage: Yes No Where: Clogging: Yes No Describe: Additional Comments and/or Actions to be Taken Time Frame AQUA-PONIC W Page 5 of 6