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STEM <br />January 13,2000Date: <br />Facility I.D. Number:004048 <br />WA461086Computer Number: <br />3901086State ID#: <br />GENERAL INFORMATION <br />SAMPLING REQUIRED <br />monitoring to protect the system users. <br />Eric TrevenaInspector:Received by: mailed <br />Page 1 of'2 <br />Name: <br />Location: <br />Mailing Address: <br />Owner/Operator: <br />Type of Water System: <br />Program: <br />Service: <br />Update owners name, address, <br />telephone number <br />Update application <br />SAMPLING DUE-PLEASE <br />SUBMIT RESULTS <br />A routine inspection was conducted on January 13, 2000 by Eric Trevena, Senior <br />R.E.H.S. (San Joaquin County Public Health Services, Environmental Health <br />Division (hereinafter Department) (PHS-EHD)) and Willy Ng, Environmental <br />Health Specialist (PHS-EHD). Present during the inspection was Vanthath Khiev, <br />Building Specialist. <br />The following sampling shall be conducted by State certified laboratory personnel <br />and testing conducted at a State certified laboratory. All samples shall be taken at <br />the wellhead, except for bacteriological sampling. The Department strongly <br />recommends the use of non-threaded, dedicated sample taps for bacteriological <br />sampling in the distribution system. If any sample result exceeds the Maximum <br />Contaminant Level (MCL), then this Department may require more frequent <br />Pacific Bell UE-708 <br />2300 Eight Mile Road, Stockton, CA 95210 <br />P.O. Box 5095 Room 3E000T, San Ramon 94583 <br />Pacific Bell <br />Non-Transient Non-Community <br />46.30 <br />Routine inspection <br />SMALL WATER <br />OFFICIAL INSPECTION REPORT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, STOCKTON CA 95202 <br />(209) 468-3420 <br />. k! <br />_X_ Secondary (Aesthetics) <br />_X_ Inorganic Chemicals <br />_X_ Nitrates <br />_X_ Nitrites <br />___ VOCs <br />_X_ SOCs <br />Radiological <br />_X_ Secondary (Aesthetics) <br />_X_ Inorganic Chemicals <br />_X_ Nitrates <br />_X_ Nitrites <br />_X_ VOCs <br />_X_ SOCs <br />Radiological <br />_X_ Bacteriological