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insert area activit Date of maintenance Maintenance conducted Inspector 8. Non-Stormwater Discharge Certification It is important that the Permittee eliminate all unauthorized stormwater discharges from the facility.Therefore the Permittee must assess each discharge location and monitoring location for the presence of non-stormwater discharges and document all findings. Date Evaluation Discharge location Non-stormwater source mm/dd/ rocess/actions taken N/A 9. Spill Prevention and Response Procedure All Permittees are required to have a Spill Prevention and Response Plan. However, if the facility already has a Spill Prevent Control and Countermeasure Plan as required by federal law,the plan can incorporated into the SWPPP as a separate document.At a minimum the plan to be included should have:Areas where spills have the potential to occur, discharge locations and surface waters which would be affected by spills,all spills and quantities,contact information,and BMPS in place to mitigate spill impacts. 10. Mercury Minimization Plan If the Permittee has any mercury sources exposed to stormwater,a Mercury Minimization Plan is required.Within the plan a description of the sources and mitigation techniques shall be included. Date of Exposed to Mitigation completion Mercu source stortnwater techni ues mm/dd/ 11. Employee Training Program For industrial stormwater implementation at your facility to be successful,a program should be developed to train employees at the facility how to fulfill main requirements of the permit including but not limited to: BMP operation and maintenance, monitoring,good housekeeping, and material storage and management.The training needs to be done annually. If it is fitting that training should occur more frequently,this should be noted in the training schedule in the SWPPP.All training documents must either be attached or included in the SWPPP and include: trainer,trainer's organization, date of training,training topics, and employees in attendance. Trainin To ic-Trainer or anization Date mm/dd/ Emplo ee Name Si nature 4/13 All Staff www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651•282-5332 or 800-657-3864 • Available in alternative formats wq-strm3-28 • 11/7/11 Page 5 of 7