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PHON h-58-3423 <br />NAME DATE <br />LOCATION <br />MAILING ADDRESS <br />OWNER/OPERATOR <br />PROGRAM/ELEMENT TIME OUT <br />Location <br />Disinfection <br />Filtration <br />Treatment Other <br />Std Not Met For <4 Mo. <br />Std. Not Met For 4-8 Mo <br />Std. Not Met For >8 Mo. <br />co Pub. Notification Bad. <br />Seed. Chem. Insuff. <br />Seed. Chem. Std. Not Met <br />Consumer Acceptance Not Met <br />Turb. Insuff. Chronic <br />Turb. Insuff. Interm. <br />Turb. Std. Not Met Interm. <br />Turb. Std. Not Met Chronic <br />Pub. Notification Turb. <br />Permit None Valid <br />Source <br />OFFICE ADDRESS AND PHONE NUMBER RECEIVED BY: <br />PAGE OF <br />ORIGINAL 2/88EH-154 rev. <br />Sewage <br />Activity <br />Flooding <br />Construction <br />Storage <br />Piping <br />Cross-Con. Problem <br />Equip. Maint. <br />Records <br />No Operator <br />Cross-Con. Program <br />Storage <br />Distribution <br />MAJOR <br />DEF. <br />MINOR <br />DEF. <br />Q <br />O <br />U1 <br />CO <br />0 z <br />n. <br />< <z> <br />s <br />E <br />z <br />o o <br />E <br />o <br />LU <br />Io <br />CDo: <br />< <br />Q <br />0 g <br />o <br />£ <br />Q <br />COMPUTER NUMBER <br />TIME IN <br />LUOf- <br />Oo. w <br />Safety Inadequate <br />SYSTEM STATUS: (MARK ONE) <br />59 60 <br />31 <br />32 <br />33 <br />34 <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 />51 <br />52 <br />53 <br />54 <br />55 <br />56 <br />57 <br />58 <br />24 <br />26 <br />_8 <br />10 <br />11 <br />13 <br />15^ <br />17 <br />19 <br />20 <br />23 <br />25 <br />MAJOR I MINOR] <br />_2 <br />_4 <br />6 <br />3___ <br />5 <br />7 <br />9 <br />12___ <br />14 <br />16 <br />18 <br />21 <br />27 <br />28 <br />29 <br />30 <br />Number of Samples Insuff . <4 Samp. <br />Number of Samples Insuff 4-8 Samp. <br />Number of Samples Insuff > 8 Samp <br />Inorg. Insuff. <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. Insuff. <br />Org. Std. Not Met Required <br />Org. Std. Not Met Other <br />Pub. Notification Org. <br />SMALL WAT ER, SYSTEM OFFICIAL INSPECTION REPORT <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />1601 E. HAZELTOft AVE. STOCKTON, GA 95205 <br />_____________________ <br />CD <br />w1- <br />RECHECK DATE <br />The rrTafked items represerft Health Code violations and must be cor- <br />rected as follows: