Construction Site Discharge Log Form
Log discharge events at your construction site quickly and accurately. Please complete all fields for each event.
Date and Time of Discharge
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Site Name or Project Location
*
Specific Discharge Location (Area/Section)
*
Type of Discharge
*
Please Select
Stormwater
Groundwater
Process Water
Other
Receiving Area
*
Please Select
Storm Drain
Surface Water (e.g., creek, river)
Ground
Off-site
Other
Estimated Volume (gallons or liters)
*
Discharge Characteristics (color, odor, turbidity, etc.)
Additional Notes or Observations
Reporter Name
*
First Name
Last Name
Reporter Email Address
*
example@example.com
Submit Log
Should be Empty: