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Tt <br />J <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-2708 <br />%fephone. (209) 468-3420 Fax: (209) 468-0341 Web: www.sjgov.org/ehd <br />Crk'a•{r'' <br />SMALL PUBLIC WATER SYSTEM PROGRAM OFFICIAL INSPECTION REPORT <br />Facility <br />r <br />Date <br />Address 39 ` <br />PWS IQ # <br />9175- <br />Type of System D <br />REHS <br />WA # <br />Se i <br />Receive y <br />Phone # <br />C/. <br />General Description: This system Consists of wells)( jand lhydropneumatic/ 0 bladder/ torage tank(s) <br />@_gallons. The distribution system consists of service connections serving a population of residents 1 employees <br />!_customers/ students. General land use in the surrounding area consists of agricultural, residential, commercial, industrial, <br />rural, pristine, livestock enclosures. Sources of water for: domesti�industrial irrigation fire standby <br />Treatment: Certified Distribution/Treatment Operator (CDO/CTO): �,�ca2' <br />Cross -Connection Control: All testable backflow prevention devices are required to be tested by a State certified tester annually and <br />immediately after any installation or repair and the results submitted to the Environmental Health Department (EHD) by <br />Cross -connection control survey completed/due Double Check Valve Assemblies (DCVA) <br />_ <br />Atmospheric Vacuum Breakers (AVO) • - R uced Pressure Principle Assemblies(RP) <br />'_ Pressure Vacuum Breakers (PVs)��; , Other backflow prevention devices <br />Sanitary Survey Si nificant Deficiencies: Y[9Use of Unapproved Source, Y�Failure to onitor/ Report/ Verify Data, <br />Y ailure to meet water demands, YRFailure to contract with CTO/CDO at ro er grade, Yt ustomers received untreated water. <br />— f <br />o•� o.� <br />Title 22 of the California Code of Regulations requires routine monitoring of your water system by a State certified laborato Sampling <br />must be performed by State certified laboratory personnel or CDO/CTO. All samples shall be taken at the wellhead, except for <br />bacteriological and Lead and Copper sampling. Please be aware that all results for samples analyzed for a system in a calendar month <br />shall be reported to the EHD no later than the tenth day of the following month. The EHD strongly recommends the use of non - <br />threaded, dedicated sample taps for bacteriological sampling in the distribution system. <br />Bacteriological: uired monthl r Total coliform bacteria. Instruct your laboratory to collet a Routine sample once <br />laboratory to l Repeats samples within <br />each a If a Routine sam ests positive far rm, instruct your collect o <br />24 hours of being notified by your laboratory and to collect�e Routine sample(s) the following month, with the results <br />enumerated and chlorine residuals reported all these samples. Notify EHD if more than one of the samples is positive. <br />d Nitrates: Required nnu <br />d Nitrites: Required once every three years. <br />Inorganic Chemicals & Perchlorate: Required once every three years. EHD waived monitoring for <br />Q/ asbestos and cyanide. <br />Volatile Organic Compounds (VOCs): Required once every six years. <br />Synthetic Organic Compounds S HD waived monitoring for all SOCs, except for: <br />Q DBCP- Required once three a s} and EDB - red once eve thr ears. <br />Lead and Copper: Required once every braee . A sample set fiv samples shall be <br />�d collected from the distributions stem between the mont s of June through 5e tember, &six months later. <br />Radiological: Gross Alpha/Radium 228: Required quarterly for one year. EHD waived Gross Alpha <br />Q monitoring to once eve 1131 ears . <br />Secondary (Aesthetics): General Mineral and General Physical are due every three years. <br />Please be aware that failure to correct deficiencies by compliance date will result in staff time charges of $495 per hour. <br />EHp 46-01 9121109 Page 1 00— SMALL PUBLIC WATER SYSTEM CIR <br />��D <br />