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FAC'" 1TIES INSPECTION REP(-%RT <br /> OFFICE NO: SS <br /> INSPECTOR: TIMOTHY R. O'BRIEN PCA Systmi Tack No: <br /> 5B3920S2002 BROWN SAND,INC. MOSSDALE RANCH SAND PLANT <br /> WDS NUMBER NAME OF AGENCY OR PARTY RESPONSIBLE FOR DISCHARGE NAME OF FACILITY <br /> P O BOX 1420 PO BOX 1429 <br /> NI'DES NUMBER AGENCY STREET FACILITY STREET <br /> 0921B1 LATHROP CA 95330 LATHROP CA 95330 <br /> (1'Y)(MM)(TYPE) AGENCY CITY AND STATE FACILITY CRY AND STATE <br /> SCHED INSPECT DATE <br /> ROBERT BROWN ROBERT BROWN <br /> AGENCY CONTACT PERSON FACILITY CONTACT PERSON <br /> 7-0"f 7-3y /S00 <br /> AC UAL IKISPECTION DATE AGENCY PHONE NO. FACILITY PHONE NO. <br /> INCPFCTION T%rPF. (('hrrk Onel <br /> (All "A"type compliance--Comprehensive inspection in which samples are taken.(EPA Type S) <br /> (Bl "B"type compliance—A routine nonsampling inspection.(EPA Type C) <br /> (02) Noncompliance follow-up—Inspection made to verify correction of a previously identified violation. <br /> (03) Enforcement follow-up--Inspection made to verify that conditions of an enforcement action are being met. <br /> (04) Complaint--Inspection made in response to a complaint <br /> (05) Pre-requirement--Inspection made to gather info,relative to preparing,modifying,or rescinding requirements. <br /> (06) Miscellaneous--Any inspection type not mentioned above. <br /> If this is an EPA inspection not mentioned above,please note type. <br /> Mix) (e.g.-biomonitoring,performance audit,diagnostic,etc.) <br /> A,Were V10LATIONS noted during this inspection? (Yes/No/Pending Sample Results) <br /> N Was this a Quality Assurance-Based Inspection?(Y/1) <br /> W ere bioassay samples taken?(N=No.If YES,then S=Static or F=Flowthrough) <br /> INSPECTION SUMMARY (REQUIRED) (100 character limit) <br /> /�1/ SG/�O-rl�i�' - J�G/• <br /> INSPECTOR'S DATA: <br /> rNTIIALS 4 SIGNATURES _ DATE <br /> For Internal Use:Reviewed By.(1) I,�U 12) (3) <br /> ' - Reg.SWIM Coordinator <br /> SWIM Data Entry Datr. Regional Board File Number: <br />