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FACINIES INSPECTION REPT <br /> OFFICE NO: 5S <br /> INSPECTOR: PCA System Task No. <br /> 5B391008002 SAN JOAQUIN COUNTY DPW CSA-15 STP <br /> WDS NUMBER NAME OF AGENCY OR PARTY RESPONSIBLE FOR DISCHARGE NAME OF FACILITY <br /> PO BOX 1810 WATERLOO& HWY 99 <br /> NPDES NUMBER AGENCY STREET FACILITY STREET <br /> (( ))(( (( ) STOCKTON, CA 95201 STOCKTON, CA <br /> SCHEYIS INSP�CT DATE AGENCY CITY AND STATE FACILITY CITY AND STATE <br /> WES JOHNSON HENRY HIR-ATA <br /> AGENCY CONTACT PERSON FACILITY CONTACT PERSON <br /> (209)468-3066 <br /> ACTUAL INSPECTION DATE AGENCY PHONE NO. FACILITY PHONE NO <br /> TNfiPFC'TTC)N TVPF, (Check One) <br /> (A1) "A"type compliance--Comprehensive inspection in which samples are taken. (EPA Type S) <br /> (B 1 "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 /> (Type) (e.g.-biomonitoring,performance audit,diagnostic,etc.) <br /> Were VIOLATIONS noted during this inspection. (Yes/No/Pending Sample Results) <br /> WWas this a Quality Assurance-Based Inspection?(Y/N) <br /> Were bioassay samples taken?(N=No.If YES,then S=Static or F=Flowthrough) <br /> INSPECTION SUMMARY (REQUIRED) (100 character limit) <br /> G��TT tt�.U� Gl�.�e ,tel G�� /.�-���Yl Q�y�• � ���'„�- 1�t�� <br /> INSPECTOR'S DATA: / <br /> INITIALS SIGNATUDATE ! <br /> For Internal Use:Reviewed By:(1) (2) (3) <br /> Reg.SWIM Coordinator <br /> SWIM Data Entry Date: Regional Board File Number- <br />