Wastewater Discharge Compliance Log

Date: Inspector Name: Facility Name:

Parameter	Limit	Result	Compliant	Remarks
pH			Yes No
Chemical Oxygen Demand (COD)			Yes No
Biochemical Oxygen Demand (BOD)			Yes No
Total Suspended Solids (TSS)			Yes No
Oil & Grease			Yes No
Other			Yes No

Notes/Action Taken: