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FACILITIES INSPECTION REPORT <br /> OFFICE NO: 5S 0 <br /> INSPECTOR: TIMOTHY R. O'BRIEN PCA System Task No: <br /> 513392001001 EASTSIDE WINERY WASTE TRT PLANT <br /> WDS NUMBER NAME OF AGENCY OR PAR TI'RESPONSIBLE FOR DISCHARGE NAME OF FACILITY <br /> 6100 F IST HIVY 1 6100 E. HWY 12 <br /> NPDES NUMBER AGENCY STREET F\11 :CITY STREET <br /> nnr)6R1 r nnr r a .)-Ili r not sA <br /> (YY((MM)(TYPE) AGENCY CITY AND STATE FACILITY CITY AND STATE <br /> SCHED INSPECT DATE <br /> LEE EICHELE LEE EICHELE <br /> AGENCY CONTACT PERSON FACILITY CONTACT PERSON <br /> ACTUAL tNSPECTf0N DATE AGENCY PHONE NO. FACILITY PHONE NO. <br /> -- ------ ---- -- <br /> TNRPF.C'TIC1N TVPF (C'herk Onel <br /> (A1) "A"type compliance--Comprehensive inspection in which samples are taken.(EPA Type S) <br /> (B1) "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 follo%%-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 /> (Type) (e.g.-biomonitoring,performance audit,diagnostic,etc.) <br /> Were VIOLATIONS noted during this inspection" (Yes/No/Pendine Sample Results) <br /> L/ Was this a Quality Assurance-Based Inspection?(Y,NT ) <br /> Were bioassay samples taken?(N=No. If YES, then S =Static or F=Flowthrough) <br /> ----------------------------- ------ <br /> INSPECTION SUMMARY (REQUIRED) (100 character limit) <br /> lana—r iut�% i�-►Qirr�'r=iY-�''c.i� `r�i�r��—cam' t.�/w— G��.��p���,/c iN �// �sn�.ls <br /> INSPECTOR'S DATA: <br /> INITIALS SIGNATURE %� �'���"`�— DATE <br /> \ J <br /> For Internal Use:Reviekred By:I i, d (2) (_) <br /> Reg.SWIM Coordinator <br /> SWIM Data Entry Date: Reeional Board File Number: <br />