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NAMI DATE <br />^6 <br />¥6 3o <br />MAJOR <br />O-C-)\location <br />Disinfection q.^ciFiltration <br />Treatment Other <br />Pub. Notification Bact. <br />Turb. Std. Not Met Chronic <br />Pub. Notification Turb. <br />Permit None Valid <br />OFFICE ADDRESS AND PHONE NUMBER <br />PAGE OF <br />EH-154 rev.2/88 <br />CD <br />Source <br />Storage <br />Distribution <br />Inorg. Insuft. <br />Inorg. Std. Not Met Nitrate <br />Inorg. Std. Not Met Selenium <br />Inorg. Std. Not Met Fluoride <br />Inorg. Std. Not Met Mercury <br />Inorg. Std. Not Met Arsenic <br />Inorg. Std. Not Met Other <br />Pub. Notification Inorg <br />Org. Insuft. <br />Org. Std. Not Met Required <br />Org. Std. Not Met Other <br />Pub. Notification Org. <br />Seed. Chem. Insult. <br />Seed. Chem. Std. Not Met <br />Turb. Insuft. Interm. <br />Turb. Std. Not Met Interm. <br />Number of Samples Insuft <4 Samp. <br />Number of Samples Insult. 4-8 Samp. <br />Number of Samples Insuft >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 />No Operator <br />Cross-Con. Program <br />Storage <br />Piping <br />Cross-Con. Problem <br />Equip. Maint. <br />Records <br />Sewage <br />Activity <br />Flooding <br />Construction <br />MAJOR <br />DEF. <br />The marked items represent Health Code violations and must be cor­ <br />rected as follows: <br />r <br />z <br />D <br />O <br />0 z <br />Q. <br />S <br />(/) <br />ir <br />LU <br />i o <br />sJ <br />< o <br />0 g <br />os s s <br />5 <br />CL o <br />Q a cn <br />UJ <br />Of- <br />On-CD <br />RECEIVED BY: / i <br />SANITARI"' ~ <br />55 <br />56 <br />57 <br />58 <br />51 <br />52 <br />53 <br />54 <br />24 <br />26 <br />Consumer Acceptance Not Met <br />Turb. Insuft. Chronic <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 />MINOR w <br />_3__ <br />_5__ <br />7 <br />9 w <br />12__ <br />14 <br />16_' <br />18 <br />21 <br />1 <br />2 <br />4 <br />6 <br />8 <br />10 <br />11 <br />13: <br />15 <br />17 <br />19] <br />201 <br />23 <br />25 <br />27 <br />28 <br />29 <br />30 <br />31 <br />32 <br />33 <br />34 <br />a Z> <br />RECHECK CMTE <br />4/ C / C <br />NAMErv <br />LOCATION <br />£ - £l M!L£ <br />MAILING ADDRESS 7 <br />Ci >4- <o / y 2^- <br />4c* ^l( <br />mi <br />SERVICE TIME OUT <br />TIME IN <br />I <br />OWNER/OPER^O^ <br />PROGRAM/ELEMENT <br />sk&U <br />O <br />61 <br />NO I I <br />DEF. || <br />Safety Inadequate <br />SYSTEM STATUS: (MARK ONE) <br />59 60 <br />MINOR I IDEF. || <br />SMALL WATE YSTEM OFFICIAL INSPECTION 'PORT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVaxzES <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N SAN JOAQUIN, PHONE (209)468-3420 <br />P 0 BOX 2009, STOCKTON, CA 95201