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4 1- <br /> SMALL WATER SYSTEM <br /> OFFICIAL INSPECTION REPORT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, STOCKTON, CA 95202 <br /> (209) 468-3420 <br /> FAX (209) 468-3433 <br /> Facility �t pDate U • 0 <br /> 5 YN'1 � r � h A <br /> Address <br /> 6 t7tr KA IC �► <br /> Type of System u ` ti 6 l1 , <br /> Service — Ib eceived by <br /> u <br /> 74s Gr'r e S .rIG ✓�dy �i , <br /> rjtV &yo� k ��o Cern i y ris n <br /> 4owZ r6 n & <br /> v<i P,rrri �r <br /> l rc v Gt e 44 0 <br /> flus rte ` <br /> All testable backflow prevention devices are required to be tested by a State certified tester annually and the results submitted to the <br /> Environmental Health Division (EHD). <br /> Title 22 of the California Code of Regulations requires routine monitoring of your water system by a State certified laboratory. <br /> Sampling must be performed by State certified laboratory personnel. All samples shall be taken at the wellhead, except for <br /> bacteriological sampling. The EHD strongly recommends the use of non-threaded, dedicated sample taps for bacteriological sampling <br /> in the distribution system. <br /> Bacteriological: Required qowwle'Iy/monthly. Continue testing quaniZIy/monthly unless a sample tests positive for coliform. After a <br /> positive, four repeats must be taken within 24 hours of being notified by your laboratory and five routine samples shall be taken the <br /> following month. Please be aware that the bacteriological results collected for a system in a calendar month shall be reported to the <br /> l' EHD no later than the tenth day of the following month. <br /> Nitrates: Required fly/annually. <br /> Nitrites: Required 4omo rly/once every three years. <br /> Inorganic Chemicals: Required once every three years. The EHD currently waives asbestos and cyanide. <br /> Volatile Organic Compounds (VOCs): Required once every three/six years. <br /> Synthetic Organic Compounds (SOCs): DBCP and EDB are required once every three years. <br /> Lead and Copper: Required annually/once every three years. One complete sample set is to be taken <br /> between the months of June through September. <br /> Secondary (Aesthetics) : General Mineral and General Physical Are due every 3 years. <br /> Radiological: Required every four years if compliance is met by conducting four consecutive calendar <br /> i quarterly samples. <br /> I Compliance date for all outstandin lab results: <br /> Page 1 of_ <br />