**Pollution Prevention**

**Survey Checklist**

**for the**

**Auto Body/Repair Environmental Results Program**

![](media/image1.png){width="3.3916666666666666in"
height="3.3916666666666666in"}

**2005**

**Maine Department of Environmental Protection**

**17 State House Station**

**Augusta, Maine 04333-0017**

**http://www.maine.gov/dep**

**Contents**

Page

Section A General Facility Information 3-4

Section B Air Quality 5-6

Section C Waste Management 6-8

Section D Water Quality 8-10

# 2005 Pollution Prevention Survey Checklist

**Section A: General Facility Information**

A1. Date of Survey (mm/dd/yyyy): \_\_\_\_/\_\_\_\_/\_\_\_\_\_\_

A2. Survey Team Members:

  ------------------------------------------ ----------------------------
  Name (First, Last)                         DEP Bureau

                                             

                                             

                                             

                                             

                                             
  ------------------------------------------ ----------------------------

A3. Facility ID \# from MEDEP ERP Database: \_\_\_\_\_\_\_

A4. Business Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A5. Alternate Business Name (if any):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A6. Street Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A7. City, Zip Code:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A8. Mailing address (if different from above):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A9. City, Zip Code:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A10. Business Phone Number:
(\_\_\_\_\_)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A11. Business Fax Number:
(\_\_\_\_\_)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A12. Business Email:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A13. Federal Employer ID Number:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A14. Number of Employees:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A15. Name of Contact Interviewed (First, Last):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A16. Contact Person's Phone Number (if different than business phone):
(\_\_\_)\_\_\_\_\_\_\_

A17. Name of Business Owner (First, Last):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A18. Owner's Phone (if different than business phone):
(\_\_\_\_\_)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A19. Has business changed any of the following information in the last
year? (check all

> that apply)

 Business Location

 Business Name

 Business Ownership

A20. Previous Street Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A21. Previous City, Zip Code:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A22. Previous Business Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A23. Previous Owner (First, Last):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A24. Business Type: (check only one)

>  Franchise/Chain (under contract to another company that owns more
> than 1
>
> auto body facility; includes company-owned stores and independent
> franchise)

 Independent (own no allegiance to any other company or organization)

 Government (federal, state, and local government facilities)

 Educational (technical schools)

 Other (specify):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A25. Type of services provided: (check all that apply)

 Auto Body

 Mechanical Repairs

 Car Wash

 Salvage Yard

 Gas Station

 Car Dealership

 Other (specify):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A26. Average number of vehicles processed per week:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A27. Average amount of paint used per vehicle:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A28. Has the shop been inspected by MEDEP within the last year?  Yes 
No

A29. Has the shop heard about the baseline surveys being conducted prior
to this visit?

>  Yes  No

A30. **(DEP USE ONLY)** Is the shop located in an environmental justice
area?  Yes  No

**Section B: Air Quality**

**YES NO**

**Dust Control**

B1. Does the shop utilize a dust control system to control dust
generated from  

> the sanding process? (i.e. ventilated sander, wet sander, room
> ventilation
>
> and filtration system)

B2. Does the shop exhaust air from process areas to the outside? (i.e.
vents)  

> (if no, skip to B6)

B3. Is the exhaust filtered? (if no, skip to B5)  

B4. Are the filters maintained and replaced according to the  

manufacturers' recommendations?

B5. Does the process area vent through an upwardly tilting stack?  

(i.e. not venting horizontally out the side of the building)

**B6. Does any airborne dust from sanding leave the business premises?
(i.e. open  **

> **windows, open doors, unfiltered exhaust vents)**

**Paint and Coatings Emission Control**

**B7. Does the shop carry out coating and painting processes in a spray
booth to  **

> **contain paint emissions and over spray? (if no, skip to B10)**

B8. Does the spray booth utilize an exhaust fan that vents to the  

> outside?

B9. Is the exhaust filtered?  

**B10. Does painting and/or coating take place in areas outside of a
spray booth?  **

**(if no, skip to B13)**

B11. Is that area vented to the outside?  

B12. Is that vent filtered?  

**B13. Do any airborne emissions from painting/coating leave the
business premises?  **

> **(i.e. open windows, open doors, unfiltered exhaust vents)**

B14. Has the shop investigated low VOC and HAP content painting/coating
options?  

B15. Does the shop utilize low VOC/HAP paint/coatings? (if no, skip to
B17)  

> **YES NO**

B16. What percentage of the shop\'s painting/coating is done
\_\_\_\_\_\_\_%

> with low VOC/HAP materials?

B17. Does the shop use any painting and coating application techniques
that  

> minimize paint and coating use? \[Check all that apply\]

-   HVLP spray gun

-   Electrostatic spray gun

>  Laser Touch
>
>  Other
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Employee Practices and Training**

**B18. Does the shop train all employees in the proper use and handling
of paints  **

> **and coatings according to the manufacturers' recommendations to
> minimize**
>
> **air emissions?**

**Cleaning Operations**

**B19. Does the shop utilize enclosed spray gun cleaning, VOC recycling
systems  **

> **or other spray gun cleaning methods to reduce or eliminate VOC
> emissions?**

B20. Has the shop investigated low VOC- and HAP-content solvent options?
 

B21. Does the shop utilize low VOC/HAP solvents? (if no, skip to B23) 


B22. What percentage of the shop\'s solvent cleaning is done
\_\_\_\_\_\_\_\_%

> with low VOC/HAP materials?

**B23. Does the shop employ a training program in the proper use and
handling of  **

> **solvents and waste products to minimize air emissions?**

**B24. Are solvents, thinners, contaminated rags or other VOC- and HAP-
 **

> **containing materials stored in closed containers when not in use?**

**Section C: Waste Management**

**Waste Generated**

**C1. Does the shop generate any of the following wastes? \[Check all
that apply.  **

> **For checked items, indicate how waste is disposed of\]**
>
> **YES NO**
>
> **Waste:**
>
> ** gasoline
> ­­­­­­­­­­­­­­­­­­­­­­­­­­­­\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**
>
> ** brake fluid
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**
>
> ** lead acid batteries
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

-   **paint
    \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

-   **paint thinner
    \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

** oil
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

> ** parts cleaning solvents
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**
>
> ** batteries
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**
>
> ** fluorescent lamps
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**
>
> ** mercury switches
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**
>
> ** cathode ray tubes
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**General Hazardous Waste**

**C2. What is the greatest monthly amount of hazardous waste generated
by the \_\_\_\_\_\_gallons**

> **facility in the last 12 months?**

**C3. Does the shop properly label containers of hazardous waste
(including waste  **

> **paint, waste paint thinner and waste parts cleaning solvents)?
> \[Labels must**
>
> **indicate the contents of the container, must say \"hazardous
> waste,\" must list**
>
> **the date of each deposit into the container and the date the
> container becomes**
>
> **full.\]**

C4. Are rags and other materials contaminated with a listed hazardous
waste stored  

> separately from other contaminated materials? (if no, skip to C6)

C5. Are containers maintained in a condition which prevents leaks  

> ruptures or spills? (i.e. no rust, bulges)

**C6. Does the shop containerize the wastes (like rags and other
absorbent material)  **

> **generated from cleanups of hazardous waste spills and treat or
> dispose of it**

**as hazardous waste?**

C7. How do you clean spray-paint guns, paint gun nozzles or other
paint-related

> equipment? \[check all that apply\]
>
>  detergents
>
>  high pressure water
>
>  solvents

 low VOC solvents

-   other

> **YES NO**

**Proper Hazardous Waste Disposal**

**C8. Has anyone at the shop ever filled out or signed a hazardous waste
manifest?  **

**(if no, look in dumpster, skip to C12)**

C9. What is the date of your last manifest (i.e., the last time you
shipped \_\_\_/\_\_\_/\_\_\_

> to your hazardous waste for disposal)?

C10. Who transported it?
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

C11. Where was it shipped for disposal?
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Waste oil**

C12. Does the shop accept waste oil from other businesses?  

C13. Does the shop generate waste oil?  

C14. How is the waste oil stored? (container type, i.e. AST, drum)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

C15. Does the shop store more than 1,320 gallons of waste oil? (if no,
skip to C17)  

C16. Does the shop have a SPCC (Spill Prevention Control and

> Countermeasures) plan?  

**C17. Does the shop burn waste oil in a waste oil furnace?  **

**C18. Does the shop ever add hazardous wastes such as waste gasoline,
solvents  **

> **or paint thinners into the waste oil?**

**Section D: Water Quality**

**Floor Drains**

D1. Does the shop have any floor drains? (if no, skip to D11)  

D2. Are any floor drains inactive? (if no, skip to D4)  

**D3. Have inactive floor drains been properly sealed/closed?  **

**D4. Does the shop have any active floor drains? (if no, skip to D6) 
**

**YES NO**

D5. Where do they discharge to? \[Check all that apply.\]

>  municipal sewer
>
>  septic system

 holding tank

>  dry well
>
>  day-lighted pipe
>
>  other \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**D6. Does the shop conduct vehicle maintenance and repair in areas
(bays)  **

> **with unsealed floor drains?**

D7. Does the shop store oil or hazardous materials in areas that have 


unsealed floor drains?

D8. Is there an oil water separator connected to floor drains? (if no,
skip to D10)  

D9. If there is an oil water separator, is it in proper working  

> condition?

**D10. Are active and inactive floor drains registered with the MEDEP? 
**

**Other Wastewater Discharges**

D11. Where does the shop discharge wastewater to?

-   municipal sewer

-   on-site septic system

-   other \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**D12. Does the shop discharge industrial wastewater (other than
sanitary wastewater)  **

> **to bathroom/kitchen sinks, toilets, showers, shop wash basins,
> emergency**
>
> **showers, eyewash stations, or other non-industrial wastewater
> outlets?**

D13. Does the shop post signs prohibiting discharging of oil and
hazardous  

> materials to bathroom/kitchen sinks, toilets, showers, shop wash
> basins,
>
> emergency showers, eyewash stations, or other non-industrial
> wastewater
>
> outlets?

**Vehicle Washing**

D14. Does the facility wash vehicles? (if no, survey is done)  

D15. Does the shop wash vehicles outside the garage facility? (if no,
skip to D20)  

**YES NO**

D16. Does the shop do any engine or undercarriage washing?  

D17. Does the shop use a pressure washer or steam pressure washer?  

D18. Does the shop use acids, bases, metal brighteners, and/or
degreasing  

> agents?

D19. Is washing conducted on an impervious surface (i.e., asphalt or  

> concrete)?

**D20. Where does the wash water**

> **discharge to? \[Check all that apply.\]**
>
> ** floor drain**
>
> ** ditch**
>
> ** stream**
>
> ** wetland**
>
> ** vegetated buffer**
>
> ** storm drain**
>
> ** other \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**