Illicit Discharge Detection & Elimination (IDDE) Form

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See a list of all data submitted through this form at the data.wa.gov RSMP IDDE table.
Tracking Form

                    
                        1. Jurisdiction Name
                    
                        1A. Email
                        
Enter your email address
                    
                        2. Unique Identifier
                        
Provide a number unique to this incident within your jurisdiction for the
                            reporting year. You may use a work order number or an ERTS number. The unique number may be auto-generated
                            or manually assigned. Numbering may be continual or restarted each calendar (reporting) year.
                    
                        2a. New or Edited Entry?
                        
If editing or updating, only enter fields below that you are changing.
                    
3. Date incident initially reported
                      
                      :
                      
                    4. Location
                        
This information will be helpful for mapping incidents to 
                            identify geographic clusters of various problems. If you prefer not to provide 
                            the entire address, please consider providing the zip code.
                    
                    4a. Street Address
                    
                    4b. And/or Zip Code
                    
                    4c. And/or Nearest Intersection
                    
                    4d. Is the structure mapped/inventoried?
                    
                    5. Weather condition at time of report
                    
                    5a. Temperature
                        
Estimated, In Degrees Fahrenheit
                    
                        5b. Precipitation in previous 24hrs
Estimated, In Inches
                    
                        6. Frequency
Choose one of the options. If you choose “other,” 
                        provide an explanation in Field 16.
                    
                        7. Threat Determination and G3 Notification:
                        
Required by permit condition Phase I S5.C.8.d.iv and G3, and Phase II S5.C.3.d.iv and G3.
                            Provide documentation of any delay in Field 16. If G3 notification is required, check that it was done or provide 
                            an explanation in Field 16. Constituted a threat to human health or the environment?
                    
                    7a. Immediate Response?
                    
                    7b. G3 Notification?
                    
                    8. Investigated within 7 days per program procedures?
                    
                    8a. If suspected illicit connection, investigated within 21 days?
                    
                    8b. Final resolution of illicit connection within 6 months?
                    
                        9. How did you learn about the problem?
                        
SELECT ALL THAT APPLY. Information about how you learned about the problem 
                            will be valuable for understanding what methods are most used and useful.
                    
                        9a. ERTS Number
                        
If Selected in #9
                        
                        10. Source Tracing Methods:
                        
SELECT ALL THAT APPLY. If you use other methods explain your 
                            approach in Field 16.
                        
                        11. Indicator Testing:
                        
SELECT ALL THAT APPLY. Sharing what indicators you used to identify 
                            the problem will be valuable for understanding what indicators are most used and useful. If 
                            you wish to include field results or specific indicator values in Field 17 you may, but they 
                            will not be included in the SIDIR analysis. If you use other indicators, explain in Field 17.
                    
                        12. Pollutant(s) Identified:
                        
SELECT ALL THAT APPLY. If the problem cannot be described 
                            using the list provided, explain in Field 17.
                    
                        13. Source or Cause:
                        
SELECT ALL THAT APPLY. If the source cannot be described 
                            using the list provided, explain in Field 16. For commercial and industrial sources, 
                            provide additional, more detailed information about the activity in Field 16. More 
                            specific information will support better analysis of the information to prioritize 
                            activities for adaptive management. If more specific information is not provided in 
                            Field 16, we may follow up with a request for additional information.
                    
                    13a. Commercial
                    
                        14. Correction/Elimination Method:
                        
SELECT ALL THAT APPLY.
                    
                        14a. Enforcement
                        
If "Enforcement" selected in #14
                    
                        15. Final Resolution Date
                        
If in process leave the default value, and go to 15a.
                      
                      :
                      
                        15a. Final Resolution In Process
                        
Check here if in process.
                      
                        16. Field notes, explanations, and other comments:
                        
Provide documentation of any delay in response or resolution in this field. 
                            Explain any required response labeled “other” in this field. 
                    N/A
                  
                        17. Other helpful or relevant information
                        
This field may be used to include any other helpful or relevant information 
                            about the problem, response, investigation, and resolution process. If you can estimate the amount 
                            of pollutant in pounds or discharge in gallons that was eliminated as a result of your IDDE actions, 
                            please include it here.
                    None
                  
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