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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3'a Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 458-3420 Fax: (209) 464-0138 Web: www.sjgov.org/chd <br />SMALL PUBLIC WATER SYSTEM PROGRAM OFFICIAL INSPECTION REPORT <br />Facilit Name: 6-6e -F C_G'u rP S Date: 0'7 <br />Address: iFpt ► S� 3 7 <br />PWS ID #: 3le 1-7 <br />Type of System: *& • 3 T R.E.H.S.: WA#: £%Sola/ &I ;—>- <br />Type of Service: 42 C'L'(- -7-7 ^1' Received ByWSIt Phone: .234-3001 <br />GENERAL DESCRIPTIONS <br />This system consists of well(s) and hydro pneumatic tank(s) bladder Ws' the distrlbutton system <br />consists of ..5— se ce C�,ppnnect'ons sery ng a population of residents/erop�gy�}eslcustomerslstudents. General land use in <br />[rvV f'� �lG 14 5 a •c�S , .2 c{ c c -, is & cu `e''1 <br />the surrounding area consists of agricultural, resid ntia , commercta , i ustrra , rura , rrstin , livestock enclosure . <br />WELL(S) USED FOR: t/DOM EST INDUSTRIAL IRRIGATION FIRE 0 STANDBY <br />Treatment: o nJ E <br />CROSS -CONNECTION CONTROL <br />❑ Cross -Connection Control Survey ❑ Double Check Valve Assemblies (DCVA) <br />❑ Atmospheric Vacuum Breakers (AVB) Reduced Pressure Principle Assemblies AT- 5r�r- A -,4t- .ajT <br />Pressure Vacuum Breakers (PVB) ❑ Other backflow prevention devices <br />All testable backflow prevention devices are required to be tested by a State certified tester annually and immediately <br />after any installation or repair and the results submitted to the Environmental Healtlt Department (EHD). <br />1 a rr .�v�s'fz G wa c- j�„ �. Gc7 Cc [ L•td xc1. c S r L f Se�ilt 10 . bL! [ ! r CeC-1S <br />! csv r+."��rv�.r�L GL v�cicccecCC��..e ,.► fe- as.s�.ti.� v,L-fps <br />a7 • 77u e-&? Cl— •l'es-��d a C � ir_d `Eco—y r rll�-FzU. <br />re <br />u Ice 4 Fi KLt-�.cC` <br />Title 22 of the California Code of Regulations requires routine monitoring of your water system by a State certified laboratory. Sampling <br />must be performed by State certified laboratory personnel. All samples shall be taken at the wellhead, exce t for bacteriological sampling. <br />The EHD strongly recommends the use of non -threaded, dedicated sample taps for bacteriological sampling in the distribution system. <br />Bacteriological: Required g4twWmonthly. Continue testing q&t6dFrtxyimonthly 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 EHD no <br />later than the tenth day of the following month. <br />.:2-80Nitrates: Re uired annually. <br />Nitrites: Required%!once every three years. <br />Inorganic Chemicals: Required once every three years. The EHD current!y waives asbestos and cyanide. <br />Volatile Organic Compounds VOCs): Required once every three/six years. <br />S nthetic Or anic Compounds (SOCs): DBCP and EDB are required once every three ears. <br />Lead and Copper: Required annually/once every three years. One complete sample set is to be taken between <br />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 />quarterly samples. <br />Submit a copy of this form with all past due sample results. <br />All past due lab results must be received by: Compliance date for all deficiencies: -6- <br />PLEASE <br />S <br />PLEASE BE AWARE THAT FAILURE TO CORRECT DEFICIENCIES BY COMPLIANCE DATE WILL RES IJUI IN S1AFF TIME CRAM L.5 Or'P7, PER HOU K. <br />END 46-01 Page I of SPWS Official Inspection Report <br />