National City Structural BMP Maintenance Verification Form
Site Name
*
Please Select
1209 K Ave
1215 K Ave
130 E 8th Street
18th and Granger
310 Palm Ave
560 Highland
724 Civic Center Dr
8th Street Garden Apartments
940 W 19th Street
A-1 Self Storage
Addisyn Park Apartments
Advance Plastics
AutoZone
Ball Kia
Bella Vita Apartments
Bible Baptist Church
Bonita Creek
Calportland
Canyon Ridge
Centro Condominiums
Chick-Fil-A
Costco CWI
Courtyard at Kimball Apartments
Discount Tire
Dunkin Donuts
E 18th Street Apartments
E 31st Street Apartments
Eat Crispy Burger
Estrella Walk
Fourteen on Harding Avenue Apartments
Frank Motors Expansion
Harbor View Condominiums
Harley Davidson
Hilltop View Homes
In-n-Out Burger
Jack in the Box
Kalesa Walk
Kimball Apartments
Kimball Highlands - East & West
LUV Car Wash
Marina Gateway Hotel
Mariner's Landing
Mariposa Walk
Mirabelle (Cypress Glen Condos)
National City Shell
Pacific View Estates
Palm Plaza
Paradise Creek Apartments
Paradise Senior Apartment Complex
Paradise Village
Paradise Village Memory Care Facility
Paradise Walk Townhomes
Penske Truck Leasing
Plaza Bonita Mall Expansion
Plaza Boulevard Center
Plaza City Apartments
Plaza Del Rey Apartments
Plaza Village
Popeyes
Social Security Administration
Super Start Car Wash
Sweetwater Town & Country Mall
Texas Roadhouse
Tremont Court Condominiums
Walgreens
WalMart #5023-252
WestAir Gases
Select the site you are entering the form for based on the dropdown list of options. The site name is also printed in bold text on the BMP verification form attachment to the letter you received.
Contact Information
Contact information will be used annually to request maintenance verification. It is important that all contact information is up to date.
Primary Contact Name
*
First Name
Last Name
Primary Contact Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact Phone Number
*
Please enter a valid phone number.
Primary Contact Email
*
example@example.com
Secondary Contact Name
First Name
Last Name
Secondary Contact Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Secondary Contact Phone Number
Please enter a valid phone number.
Secondary Contact Email
example@example.com
Structural BMPs Operation and Maintenance Information
Are the Structural BMPs on the property functional? Note: for clarification on function and maintenance, refer to SBMP Web Page
*
Yes
No
Date of Last Maintenance
*
Description of Maintenance for each BMP on property
*
Please submit current photos of the BMPs on the property and attach any service reports
Browse Files
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Signature
*
I certify under penalty of law that the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
Date
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Please consider giving the City feedback on this program and how we could improve it to ensure timely responses from your site and others. Thank you in advance.
Use this text box to provide feedback or suggestions on potential improvements to this maintenance verification system.
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