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FACILITIES INSPECTION REPORT <br /> OFFICE NO: 5S <br /> INSPECTOR: TIMOTHY R. OBRIEN PCA System Task No <br /> 513391071001 OUALITY ASSURED PACKING. INC. TOMATO PROCESSING WASTE <br /> WDS NUMBER NAME OF AGENCY OR PARTY RESPONSIBLE FOR DISCHARGE NAME OF FACILITY <br /> PO BOX 55108 2851 N. BOZZANO RD <br /> NPDES NUMBER .AGENCY STREET FACILITY STREET <br /> nnn681 c1nCK117I ' ('A 95?05-R )8 cTnrKTON, C-4 9:-)15 <br /> (YY)(MM)(TYPE) AGENCY CITY AND STATE FACILITY CITY AND STATE <br /> SCHED INSPECT DATE <br /> ANGELO AIELLO ANGELO AIELLO <br /> AGENCY CONTACT PERSON FACILITY CONTACT PERSON <br /> 2_a9- 10l-67e9 x 7I7- <br /> ACTUAL INSPECTION DATE AGENCY PHONE NO. FACILITY <br /> 9�1-6700 <br /> Y PHONE NO <br /> -- ---------- <br /> INSPFC'TION 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 /> 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 t-,pe. <br /> (Type) (e.g.-biomonitoring,performance audit,diagnostic,etc.) <br /> N Were VIOLATIONS noted during this inspection?(Yes/No/Pending Sample Results) <br /> L Was this a Quality Assurance-Based Inspection?(Y/N) <br /> A/ Were bioassav samples taken?(N =No. If YES, then S=Static or F=Flowthroueh) <br /> ------ --- ----------- <br /> INSPECTION SUMMARY (REQUIRED) (100 character limit) <br /> INSPECTOR'S DATA: <br /> INITIALS <br /> SIGNATURE 1� � DATE <br /> For Internal Use: Reviewed By:(1) 1 u (2) (3) <br /> Reg.SWIM Coordinator <br /> SWIM Data Erin,Date. Regional Board File Number: <br /> e: <br />