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Site ID/Name: Location: Date: Comments: Rainwater Harvesting: Cistern General Inspection Questions (YES / NO) Note: ‘Yes’ indicates a maintenance need and action Good Examples: Examples of Potential Issues: 4 Leaf Screen (debris/obstructed) 3 Gutters (Debris) 12 Gutters (Structural / Leaking) General: 1. Is access to the site inadequately maintained for inspection and maintenance? 2. Does this area have trash, debris, grass clippings, etc. present? 3. Do gutters or downspouts have trash, debris, etc. present? 4. Are leaf screens dirty/obstructed or in poor condition? 5. If present, is the first flush diverter not working properly or in poor condition. 6. If present, is the roof washer not working properly or in poor condition? 7. Is the cistern inlet and downspout connection loose does not fit 8. Is the cistern tank dirty or does it contain sediment? 9. Does the cistern appear to have indication of an algal bloom? 10. Are the plants that are being watered from the cistern unhealthy or in poor condition? (Comment on condition of the plans) 11. Are there signs of the overflow valve leaking stains, dampness)? 12. Are there signs of cracking or leaking with the cistern or connections structural issues)? 13. If applicable, does the pump performance not match the pumping details? YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO