Form CEM-2034 "Monthly Stormwater Best Management Practices & Materials Inventory Report - Optional" - California

What Is Form CEM-2034?

This is a legal form that was released by the California Department of Transportation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2013;
  • The latest edition provided by the California Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CEM-2034 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form CEM-2034 "Monthly Stormwater Best Management Practices & Materials Inventory Report - Optional" - California

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
MONTHLY STORMWATER BEST MANAGEMENT PRACTICES & MATERIALS
INVENTORY REPORT - OPTIONAL
CEM-2034 (NEW 12/2013)
Page 1 of 4
PROJECT INFORMATION NAME AND SITE ADDRESS
CONTRACT NUMBER/CO/RTE/PM
PROJECT IDENTIFIER NUMBER
WDID NUMBER
CONTRACTOR NAME AND ADDRESS
PROJECT SITE RISK LEVEL
Risk Level 1
N/A. WPCP
N/A. Project resides in the Lake Tahoe Hydrologic
Risk Level 2
Unit and is regulated under Order No.
Risk Level 3
R6T-2011-0019, NPDES No. CAG616002
Water Pollution Control Manager (print name and sign)
Date
Submitted by contractor (print name and sign)
Date
Provide a monthly list of stored best management practices and materials on site.
Construction Phase
Site Information
Highway construction
Total project area (acres)
Total project disturbed soil area (acres)
Plant establishment
Current phase disturbed soil area (acres)
Suspension of work (inactive site)
Current phase inactive disturbed soil (acres)
Stormwater Best Management Practices and Materials on Site
Estimated quantity
Location where stored:
Quantity
needed if rain event
BMP ID
Unit
on hand
predicted, spill occurs or
1
BMP Name
BMP fails
For individuals with sensory disabilities, this document is available in alternate formats. For information, call (916) 445-1233,
ADA Notice
TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
MONTHLY STORMWATER BEST MANAGEMENT PRACTICES & MATERIALS
INVENTORY REPORT - OPTIONAL
CEM-2034 (NEW 12/2013)
Page 1 of 4
PROJECT INFORMATION NAME AND SITE ADDRESS
CONTRACT NUMBER/CO/RTE/PM
PROJECT IDENTIFIER NUMBER
WDID NUMBER
CONTRACTOR NAME AND ADDRESS
PROJECT SITE RISK LEVEL
Risk Level 1
N/A. WPCP
N/A. Project resides in the Lake Tahoe Hydrologic
Risk Level 2
Unit and is regulated under Order No.
Risk Level 3
R6T-2011-0019, NPDES No. CAG616002
Water Pollution Control Manager (print name and sign)
Date
Submitted by contractor (print name and sign)
Date
Provide a monthly list of stored best management practices and materials on site.
Construction Phase
Site Information
Highway construction
Total project area (acres)
Total project disturbed soil area (acres)
Plant establishment
Current phase disturbed soil area (acres)
Suspension of work (inactive site)
Current phase inactive disturbed soil (acres)
Stormwater Best Management Practices and Materials on Site
Estimated quantity
Location where stored:
Quantity
needed if rain event
BMP ID
Unit
on hand
predicted, spill occurs or
1
BMP Name
BMP fails
For individuals with sensory disabilities, this document is available in alternate formats. For information, call (916) 445-1233,
ADA Notice
TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
MONTHLY STORMWATER BEST MANAGEMENT PRACTICES & MATERIALS
INVENTORY REPORT - OPTIONAL
CEM-2034 (NEW 12/2013)
Page 2 of 4
PROJECT INFORMATION NAME AND SITE ADDRESS
CONTRACT NUMBER/CO/RTE/PM
PROJECT IDENTIFIER NUMBER
WDID NUMBER
Stormwater Best Management Practices and Materials on Site
Location where stored:
Estimated quantity
Quantity
needed if rain event
BMP ID
Unit
on hand
predicted, spill occurs or
2
BMP Name
BMP fails
Estimated quantity
Location where stored:
Quantity
needed if rain event
BMP ID
Unit
on hand
predicted, spill occurs or
3
BMP fails
BMP Name
For individuals with sensory disabilities, this document is available in alternate formats. For information, call (916) 445-1233,
ADA Notice
TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
MONTHLY STORMWATER BEST MANAGEMENT PRACTICES & MATERIALS
INVENTORY REPORT - OPTIONAL
Page 3 of 4
CEM-2034 (NEW 12/2013)
PROJECT INFORMATION NAME AND SITE ADDRESS
CONTRACT NUMBER/CO/RTE/PM
PROJECT IDENTIFIER NUMBER
WDID NUMBER
Stormwater Best Management Practices and Materials on Site
Estimated quantity
Location where stored:
Quantity
needed if rain event
BMP ID
Unit
on hand
predicted, spill occurs or
__
BMP Name
BMP fails
Estimated quantity
Location where stored:
Quantity
needed if rain event
BMP ID
Unit
__
on hand
predicted, spill occurs or
BMP fails
BMP Name
For individuals with sensory disabilities, this document is available in alternate formats. For information, call (916) 445-1233,
ADA Notice
TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
MONTHLY STORMWATER BEST MANAGEMENT PRACTICES & MATERIALS
INVENTORY REPORT - OPTIONAL
CEM-2034 (NEW 12/2013)
Page 4 of 4
Instructions
General Information
• The Water Pollution Control Manager must oversee preparation of this form and submit a copy to the resident engineer every
month.
• Attach additional copies of page 2 and page 3 of this form to include all required locations.
• Insert consecutive numbers for each location when using page 2 or page 3 of this form
BMP Name
BMP ID
BMP Name
BMP ID
Temporary Soil Stabilization
Non-Stormwater Management
Preservation of existing vegetation
SS-02
Water conservation practices
NS-01
Hydraulic mulch
SS-03
Dewatering operations
NS-02
Hydroseeding
SS-04
Paving and grinding operations
NS-03
Soil binders
SS-05
Temporary stream crossing
NS-04
Straw mulch
SS-06
Clear water diversion
NS-05
Geotextiles, mats, plastic covers, and lined ditches
SS-07
Illegal connection or discharge detection and reporting
NS-06
Wood mulching
SS-08
Potable water and irrigation
NS-07
Earth dikes, drainage swales and lined ditches
SS-09
Vehicle and equipment cleaning
NS-08
Outlet protection and velocity dissipation devices
SS-10
Vehicle and equipment fueling
NS-09
Slope drains
SS-11
Vehicle and equipment maintenance
NS-10
Streambank stabilization
SS-12
Pile-driving operations
NS-11
Temporary Sediment Control
Concrete curing
NS-12
Silt fence
SC-01
Material and equipment use over water
NS-13
Sediment or distilling basin
SC-02
Concrete finishing
NS-14
Sediment trap
SC-03
Structure demolition or removal over or adjacent to water
NS-15
Checkdams
SC-04
Waste Management and Pollution Control
Fiber rolls
SC-05
Material delivery and storage
WM-01
Gravel bag berm
SC-06
Material use
WM-02
Sandbag barrier
SC-08
Stockpile management
WM-03
Straw bale barrier
SC-09
Spill prevention and control
WM-04
Storm drain inlet protection
SC-10
Solid waste management
WM-05
Wind Erosion Control
Hazardous waste management
WM-06
Wind erosion control
WE-01
Contaminated soil management
WM-07
Tracking Controls
Concrete waste management
WM-08
Stabilized construction entrance and exit
TC-01
Sanitary or septic waste management
WM-09
Stabilized construction roadway
TC-02
Liquid waste management
WM-10
Entrance and exit tire wash
TC-03
Street sweeping
TC-04
For individuals with sensory disabilities, this document is available in alternate formats. For information, call (916) 445-1233,
ADA Notice
TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
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