Laserfiche WebLink
DATE <br />I NUMBER <br />OWNER/OPERATOR <br />TIME OUT <br />MAJOR <br />y'VX <br />±sLocationC ■ <br />4<4- i k C C <br />TktL s4?fus. 4-c-6L <br />id cl .v at!c'XC Cl <br />r^^ccls.c. ! i <br />d i <br />O/h • ~e e?c <br />\ <br />i) A /Mt} <br />& A ■Of <br />3 / <br />l^T^-6x <br />C A t S^C cd k le ks.G1 <br />a ( <br />G-*- <br />2)i^dr'1 <br />Permit None Valid <br />Source <br />RECEIVED BY: <br />PAGE OF <br />m <br />Z) <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. Insuff. <br />Org. Std. Not Met Required <br />Org. Std. Not Met Other <br />Pub. Notification Org. <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 Bad. <br />Disinfection <br />Filtration <br />Treatment Other <br />MAJOR <br />DEF. <br />z <br />z> o <br />Sewage <br />Activity <br />Flooding <br />Construction <br />SMALL WAT SYSTEM OFFICIAL INSPECTIC 1EPORT <br />SAN Ju«QUIN COUNTY PUBLIC HEALTH SERviCES <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N SAN JOAQUIN, PHONE (209)468-3420 <br />P 0 BOX 2009, STOCKTON, CA 95201 <br />0 <br />Z <br />_J <br />CL <br />S <br />0 <br />oc <br />S <br />LU <br />I o <br />£ <br />s <br />DC <br />< O <br />0 g <br />2 £ <br />RECHECK DATE <br />Q a cn <br />E <br />o <br />dei! ~Tc <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 />Storage <br />Piping <br />Cross-Con. Problem <br />Equip. Maint. <br />Records <br />No Operator <br />Cross-Con. Program <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 />COMPUTER NUMBER <br />TIME IN <br />"A ~A> t <br />23 <br />25i <br />27 <br />28 <br />29 <br />30 <br />31 <br />32 <br />33 <br />34 <br />1 <br />2 <br />~4j <br />6| <br />8 <br />iot <br />il~i <br />TF <br />15; <br />17; <br />19i <br />20 <br />MINOR w <br />3 <br />_5___ <br />7 <br />9 w <br />12___ <br />14 <br />16___ <br />18 <br />W <br />, 21 <br />Y////A22 <br />24 <br />26 <br />OFFICE ADDRESS AND PHONE NUMBER <br />(^) di v*'- <br />SERVICE <br />The marked items represent Health Code violations and must be cor­ <br />rected as follows: <br />y <de>- S <br />8^ <br />ar-ft 3" efravu. <br />ruft a <br />a AA <br />Ad/lod a~f- dA <br />ci a ci / c <br />// r'C-S t 4^ Z'- Yr FL <br />/Za r ,■ A j A <br />c c'yii., s. 4s <br />PROGRAM/ELEMENT <br />^6-30 <br />/c? C , -A c <br />*3 <br />m <br />(^) cAtjUd , /C> ' Qf,any't''^' <br />5© -/J*-/" CZ-tCM-rCrf' 7 <br />SANITARIAN: <br />/ OF <br />2/88 <br />LOCATION <br />Ei c^crr A-ctLiE <br />MAILING ADDRESS ? <br />61 <br />no r-] DEF. |I <br />/O?>t - crz... <br />dy'a z< -i'c-C c. t ix.'d'fc /■' <br />Safety Inadequate <br />SYSTEM STATUS: (MARK ONE) <br />59 60 <br />MINOR | IDEF. || <br />zv r / lz etz <br />\ \ / h C {- fl C.y <br />a //C cyifi <br />/ z\ r "/-ci / Lc d <br />® m EH-154 rev.