| Water Quality and Animal
Feeding Operations in Arizona: A Producer's Notebook
Worksheet #3: Potential Pollutant Sources
(Excel version, 7KB)
(see part IV. B. 1. c. vii. of Arizona General NPDES permit)
Potential Pollutant Sources:
Describe activities, chemicals, &/or hazardous substances that
may be a potential pollutant source, including sources which may
reasonably be expected to add pollutants to runoff from the facility.
| Check here if the activity is applicable at this
operation |
Description of activity that may be a potential
source of pollution. |
| ______________ |
Pesticide Applications (includes herbicides, rodenticides,
fungicides, insecticides) If so, attach a list of chemicals
used.
Producers should carefully follow directions on the labels
to reduce environmental or human health risks.
|
| ______________ |
Fuel Storage ( for instance petroleum storage
tanks or barrels)
Producers should ensure that all petroleum storage containers
are properly sealed to prevent leakage. |
| ______________ |
Vehicle Maintenance facilities
Producers should ensure that all liquid and solid wastes are
disposed of in a manner that reduces pollution to potential
to surface and groundwater and prevents spillage into manure
containment structures. |
| ______________ |
Animal Pharmaceuticals
Producers should ensure that all refuse products derived from
animal health activities are collected and disposed of in a
manner that prevents them from entering any surface water or
manure containment structure. |
| ______________ |
Fertilizer Applications (chemical or organic)
Producers should ensure that fertilizers are stored in sealed
containers that prevent leakage to manure containment structures,
groundwater or surface water.
Producers should also keep the Material Safety Data Sheet (MSDS)
on site and follow requirements for use to reduce environmental
or human health risks.
Producers must land apply chemical and organic fertilizers according
to plant uptake needs. A nutrient management plan is required
by permittees and must be developed by a certified nutrient
management planner. |
| ______________ |
Other: List any other activities which might be
potential pollutant sources
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This worksheet was developed by the Arizona Department of Agriculture,
Agricultural Consultation and Training Program, in collaboration
with Natural Resources Conservation Service, University of Arizona,
& AZ Conservation Districts, for use in record keeping requirements
for the Arizona NPDES General Permit.
Page updated 7/02.
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