2008 Stormwater Pollution Prevention Plan - Tenant Survey
RequiredRequired Question(s)
The information in this survey does not remove your liability or responsibility in complying with all Local, State and Federal rules and regulations. By completing this survey, you certify to the best of your knowledge, that the information submitted is correct.
 
1.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Company Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

Required 2.
List Hangar-Bay / Tiedown Location
 

50 characters left.
Required 3.
Tenant Since (Month / Year)
 

50 characters left.
Required 4.
Any Subtenants? If Yes, Identify
Yes
No
  • Comment:

  • 500 characters left.
Required 5.
Click All Activities That You Perform at Your Hangar / Tiedown
Aircraft Fueling (AF)
Aircraft Maintenance (AM)
Aircraft Painting / Stripping (AP)
Aircraft Rental - Sales (AR)
Aircraft Sanitary Service (AS)
Aircraft Washing (AW)
Cargo Handling (CH)
Chemical Storage (CS)
Equipment Degreasing / Washing (ED)
Equipment Maintenance (EM)
Equipment Storage (ES)
Fuel Storage (FS)
Floor Wash Down (FW)
Manufacturing (MF)
Outdoor Apron Wash Down (OA)
Pesticide / Herbicide Usage (PH)
Steam Cleaning (SC)
Vehicle Fueling and/or Maintenance (VF) (VM)
Vehicle Painting / Stripping (VP)
None
Other  
Required 6.
Which of the Above Activities Are Performed Outdoors? Please Use Abbreviations.
 

50 characters left.
Required 7.
Outdoor Activities Discharge to:
Ground
Storm Drain
Sanitary Drain
Unknown
No Discharge
Required 8.
Indoor Activities Discharge to:
Storm Drain
Sanitary Drain
Floor Drain
Unknown
No Discharge
Required 9.
Were Any Chemicals, Oils or Hazardous Substances Spilled or Leaked to Stormwater Drains in the Last 5 Years? If Yes Describe.
Yes
No
  • Comment:

  • 500 characters left.
Required 10.
What Chemicals Are Currently Stored INDOORS in Quantities of 5 Gallons or More? State Name and Quantity or N/A
 

500 characters left.
Required 11.
What Chemicals Are Currently Stored OUTDOORS in Quantities of 5 Gallons or More? State Name and Quantity or N/A
 

500 characters left.
Required 12.
Click on Existing Measures You Are Performing to Reduce Stormwater Pollution
Activity / Materials Enclosed and / or Covered
Spill Prevention Plan Established
Periodic Employee Training Conducted
Material Handling Procedures Established
Spill Response Plan Established
House Keeping Plan Established
Outdoor Sweep Program
Use of Dryzit or Other Sorbent Material
Oil / Water Seperator
Facility Inspection Program
None
Other  
Required 13.
Are You Aware of Any Non-Stormwater Discharges or Illicit Connections to Storm Drains or the Ground Surface at Your Facility? If Yes, Please Describe.
Yes
No
  • Comment:

  • 500 characters left.
Required 14.
Are There Any Floor Drains at Your Location, Near an Area of Chemical Storage?
Yes
No
N/A
  • Comment:

  • 500 characters left.