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AGENCY CONTACT PERSON <br />(209) 823-5515 <br /> <br />ACTUAL INSPECTION DATE AGENCY PHONE NO. <br />FAC ,TIES INSPECTION REPOT <br />OFFICE NO: 5S <br />INSPECTOR: CAMILLA K. VoTILLIAM:.3 l'CA System Task No:2L1=i3D <br /> <br />WDS NUMBER <br />NPDES NUMBER <br /> <br />(yy)(mM) (TYPE) <br />SCHED INSPECT DATE <br />LONG RANCH, INC. <br />NAME OF AGENCY OR PARTY RESPONSIBLE FOR DISCHARGE <br />5203 WEST RIPON RD <br />AGENCY STREET <br />MANTECA, CA 95337 <br />AGENCY CITY AND STATE <br />LONG RANCH <br />NAME OF FACILITY <br />5203 W. RIPON RD <br />FACILITY STREET <br />MANTECA, CA 95337 <br />FACILITY CITY AND STATE <br />SCOTT LONG SCOTT LONG <br /> <br />FACILITY CONTACT PERSON <br />(209) 823-5515 <br />FACILITY PHONE NO. <br /> <br />INSPECTION TVPF, (Check One) <br /> <br />(Al) "A" type compliance -- Comprehensive inspection in which samples are 'taken. (EPA Type S) <br />"B" type compliance -- A routine nonsampling inspection. (EPA Type C) <br />Noncompliance follow-up -- Inspection made to verify correction of a previously identified violation. <br />Enforcement follow-up-- Inspection made to verify that conditions of an enforcement action arc being met. <br />Complaint -- Inspection made in response to a complaint. <br />Pre-requirement -- Inspection made to gather info, relative to preparing, modifying, or rescinding requirements. <br />Miscellaneous -- Any inspection type not mentioned above. <br />If this is an EPA inspection not mentioned above, please note type. <br />(Type) <br /> (e.g. - biomonitoring, performance audit, diagnostic, etc.) <br />A/ Were VIOLATIONS noted during this inspection? (Yes/No/Pending Sample Results) <br />A/ Was this a Quality Assurance-Based Inspection? (Y/N) <br />Al Were bioassay samples taken? (N =No. If YES, then S = Static or F = Flowthrough) <br />INSPECTION SUMMARY (REQUIRED) (100 character limit) <br />./'• ,of J ..),"9 7417 %el/. <br />. ,r7ca 4,-/-71-Z> <br />INSPECTOR'S DATA: <br />INITIALS ---1-1-1Z—D— SIGNATURE e7-7 <br />For Internal Use: Reviewed By: (1) <br /> <br />(2) (3 ) <br /> <br />Reg. SWIM Coordinator <br />c' 7.<L, <br />7:L72 e 717:› <br />th) <br /> <br />DATE <br /> <br />SWIM Data Entry Date: Regional Board File Number: