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SYSTEM OFFICIAL INSPECTIO <br />DATE <br />OWNER/ OPERATOR <br />PROGRAM/ELEMENT TIME OUT <br />MAJOR <br />/x c<.Location <br />-Z7zDisinfectionce'e t(aS.ci (Filtration <br />Treatment Other <br />SS T <br />H >/e.AJocerT^ <br />/& <br />»• a / <br />■Ze ' <br />E-A~S !i c <br />/ PC Q a c-d,^ (a )'a <br />I >V--< <br />■t <br />(AjO'k.4C2 / <br />/VC <br />T:--F <br />c< <br />oUS <br />^fSTH <br />Pub. Notification Turb./•S <br />Permit None Valid <br />Source <br />OFFICE ADDRESS AND PHONE NUMBER RECEIVED BY: <br />SANITARI. <br />PAGE <br />EH-154 rev. <br />m <br />o <br />Inorg. Insutf. <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 Mel Arsenic <br />Inorg. Std. Not Met Other <br />Pub. Notification Inorg <br />Org. Insult. <br />Org. Std. Not Met Required <br />Org. Std Not Met Other <br />Pub. Notification Org. <br />Seed. Chem. Insutf. <br />Seed. Chem. Std. Not Met <br />Storage <br />Distribution <br />Equip. Maint. <br />Records <br />No Operator <br />Cross-Con. Program <br />Storage <br />Piping <br />Cross-Con. Problem <br />Sewage <br />Activity <br />Flooding <br />Construction <br />MAJOR <br />DEF <br />MINOR <br />OEF. <br />The marked items represent Health Code violations and must be cor­ <br />rected as follows: <br />SMALL WAT' SYSTEM OFFICIAL INSPECTIO 'EPORT <br />SAN Ju-vJUIN COUNTY PUBLIC HEALTH SER..CES <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N SAN JOAQUIN, PHONE (209)468-3420 <br />P 0 BOX 2009, STOCKTON, CA 95201 <br />o z <br />S <br />CO <br />£ <br />LU <br />O <br />£ <br />S <br />(T <br />a <br />S co <br />< o <br />0 g <br />o <br />s <br />o <br />3 <br />z < <br />o <br />£ <br />o <br />Ul <br />Of- <br />OO- w <br />/ix c r/c <br />Cf c <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 />31 <br />32 <br />33 <br />34 <br />55 <br />56 <br />57 <br />58 <br />27 <br />28 <br />29 <br />30 <br />51 <br />52 <br />53 <br />54 <br />24 <br />26 <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 />1 <br />2 <br />4 <br />6 <br />8 <br />’ 10 <br />11 <br />13 <br />15 <br />17] <br />19 <br />20 <br />23 <br />25 <br />MINOR w <br />_3__ <br />_5__ <br />7 <br />9 w <br />12__ <br />14_] <br />16__ <br />18 <br />21 <br />-Ac (cis ^.cro - pPc-a <br />Number of Samples Insuff < 4 Samp. <br />Number of Samples Insuff 4-8 Samp <br />Number of Samples Insutf >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 Bact. <br />Av I!oiAcdd 4><j s4Ze <br />-a C i -£ <br />■ (y-rYYv-M, <br />zy c/its <br />Safety Inadequate <br />SYSTEM STATUS: (MARK ONE) <br />59 60 <br /> ^f0R <br />si /e <br />co <br />9 <br />LOCATION <br />2^0 0 £ £i(-KTMIl£ /'aS <br />MAILING ADDRESS COMPUTER NUMBER <br />TIME IN <br />A0- <br />Z? //C'sd <■/ b <br />cz 4 / r e <br />— fSP) fl rx "A Ae-CL j- j <br />Y~c>// c/ A. <br />(Pt <br />' a // YtG <br />- AA / <br />'i K'ee /a <br />tYi e tfi Y <br />61 <br />NO I I <br />DEF. | | <br />a .-.c-f e <br />(L /JCiAjS ) <br />OF A' <br />2/88 <br />S'ra - ZS"o Ae.^ i