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J <br />f <br />DATE <br />TIME OUT <br />-e aSLocation <br />Disinfection <br />Filtration <br />Treatment Other <br />r-e*.-r ~ • <br />AJi ~h,^i /-C tx <br />3? \jola."h(<- <br />I X »V4.-a. ^-e.~e <br />Gll C (CI zi</n c <br />'A A-ci <br />/ » ./ e clc <br />cl an.O~ns >, vg <br />cX <br />c/<-4 4^1 I Ca l S <br />i/'a, a gt c <br />/& <br />■r <br /><4 (t ne c>/1 b-g.’>Tn i <br />Turb, Std. Not Met Chronic <br />Pub. Notification Turb. <br />Permit None Valid <br />2>&Cl^ dcn-ZC£Source <br />2/88 <br />0t'^HLmC-C ?<£>(.£. <br />3/^7/^; <br />RECHECK DATE <br />Z <br />D <br />O <br />m <br />Storage <br />Distribution <br />Inorg. Insuff. <br />Inorg. Std. Not Mel Nitrate <br />Inorg. Std. Not Met Selenium <br />Inorg. Std. Nol Mel Fluoride <br />Inorg. Std. Not Met Mercury <br />Inorg. Std. Nol Met Arsenic <br />Inorg. Std. Nol Met Other <br />Pub. Notification Inorg <br />Org. Insuff. <br />Org. Std. Not Met Required <br />Org. Std. Not Met Other <br />Pub. Notification Org. <br />Seed. Chem. Insuff. <br />Seed. Chem. Std. Not Mel <br />Turb. Insuff. Interm. <br />Turb. Std. Not Met Interm. <br />Number of Samples Insuff < 4 Samp. <br />Number of Samples Insuff. 4-8 Samp <br />Number of Samples Insuff >8 Samp. <br />Std. Not Met For <4 Mo <br />Std. Not Met For 4-8 Mo <br />Std. Not Met For >8 Mo. <br />Pub. Notification Bact. <br />No Operator <br />Cross-Con. Program <br />Sewage <br />Activity <br />Flooding <br />Construction <br />MAJOR <br />DEF. <br />MINOR <br />DEF. <br />e z <br />CL <br />< cn <br />SERVICE .. <br />w <br />LU <br />T <br />O <br />£ <br />sJ <br />< o <br />0 g <br />o <br />5 <br />o s <br />Q a <br />CD <br />E <br />o <br />UJ <br />Of- <br />oa- <br /><0 <br />Consumer Acceptance Nol Met <br />Turb. Insuft. Chronic <br />Storage <br />Piping <br />Cross-Con. Problem <br />Equip. Main). <br />Records <br />51 <br />52 <br />53 <br />54 <br />55 <br />56 <br />57 <br />58 <br />35 <br />36 <br />37 <br />38 <br />39 <br />40 <br />41 <br />42 <br />43 <br />44 <br />45 <br />46 <br />47 <br />48 <br />49 <br />50 <br />27 <br />28 <br />29 <br />30 <br />31 <br />32 <br />33 <br />34 <br />_3__ <br />5__ <br />_7___ <br />9 <br />W <br />12__ <br />14__ <br />16__ <br />18 <br />W <br />21 <br />v/Z/A^ <br />24 <br />26 <br />\fOOs. <br />23 <br />25 <br />RECEIVED BY: , <br />US. /V^-a/Qgy <br />SANITARIAN: ' • <br />PAGE / OF <br />The marked items represent Health Code violations and must be cor- <br />rected as follows: <br />tn (COt <br />MAJOR I MINOR I <br />1 <br />2 <br />4 <br />6 <br />8 <br />10 <br />11 <br />13 <br />15 <br />17 <br />19 <br />20! <br />d(0 A.) <br />Safety Inadequate <br />SYSTEM STATUS: (MARK ONE) <br />59 60 <br /> Mdep0R <br />EH-154 rev. <br />§E <br />k (Z .aj <br />/Oi-jy'a it — <br />a l g-nU ql cj, aw, iZ <br />Cline AJZ) / <br />"C>&cP act duje.. <br />ms <br />a the c Ze <Z /(dZ <br />NAM^ <br />Z&c t^tc __________ <br />LOCATION <br />MAILING ADDRESS COMPUTER NUMBER <br />TIME IN <br />jO'-e e^q< 1 e 'C-yn i <br />"tt <br />OFFICE ADDRESS AND PHONE NUMBER T <br />C-n Ct n ot dne cLccC ^l^o- <br />OWNER/OPERATOR <br />________ <br />PROGRAM/ELEMENT ¥6-3 g <br />SMALL WATE YSTEM OFFICIAL INSPECTION :.PORT <br />SAN JOAwUIN COUNTY PUBLIC HEALTH SERVx^ES <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N SAN JOAQUIN, PHONE (209)468-3420 <br />P O BOX 2009, STOCKTON, CA 95201 <br />61 <br />ND I I DEF. || <br />ds /Z'oec.s) -7p <br />. ZJC-Z a (( c betvii ca h <br />i s Z ( <br />'P&CiZ~l c tbit