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DATE <br />OWNER/OPERATOR <br />PROGRAM/ELEMENT TIME OUT*/-6» - >3 o <br />/A —aLocation <br />Disinfection <br />Filtration <br />Treatment Other a <br />(a >-e ‘-e <br />a>\cc S <br />a <br />( 2.)(a ~h <Pub. Notification Bact. <br />I ^h- <br />a.cUe <br />C <br />/< <br />C-VV\ i t <br />I ■t <br />Turb. Std. Not Met Chronic <br />Pub. Notification Turb./■S <br />Permit None Valid <br />Source IS. <br />®.« EH-154 rev.2/88 <br />No Operator <br />Cross-Con. Program <br />m <br />o <br />Inorg. Insutf. <br />Inorg. Std. Not Met Nitrate <br />Inorg. Std. Not Met Selenium <br />Inorg. Std. Not Mel 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 />Seed. Chem. Insuff. <br />Seed. Chem. Std. Not Met <br />Storage <br />Distribution <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 />Storage <br />Piping <br />Cross-Con. Problem <br />Equip. Maint. <br />Records <br />MAJOR <br />DEF. <br />Sewage <br />Activity <br />Flooding <br />Construction <br />SMALL WAT SYSTEM OFFICIAL INSPECTIC REPORT <br />SAN Ju«QUIN COUNTY PUBLIC HEALTH SERvxCES <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N SAN JOAQUIN, PHONE (209)468-3420 <br />P 0 BOX 2009, STOCKTON, CA 95201 <br />de <br />o z <br />< <br />CD <br />Z < <br />O <br />S'? <br />in <br />I <br />O <br />£ <br />s <br />oc <br />2 <br />Q_ o <br />Q a <br />CD <br />< <br />O <br />0 g <br />o <br />E <br />& <br />CD <br />UJ <br />Oh- <br />OQ. <br />CO <br />i "tl c. <br />Consumer Acceptance Not Met <br />Turb. Insuff. Chronic <br />Turb. Insutf. Interm. <br />Turb. Std. Not Met Interm. <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 />55 <br />56 <br />57 <br />58 <br />27 <br />28 <br />29 <br />30 <br />31 <br />32 <br />33 <br />34 <br />51 <br />52 <br />53 <br />54 <br />24 <br />26 <br />SERVICE , X-" \ <br />The marked items represent Health Code violations and must be cor­ <br />rected as follows: <br />LOCATION <br />£. <br />MAILING ADDRESS <br />MAJOR I MINOR I <br />~F <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 />OFFICE ADDRESS AND PHONE NUMBER <br />_3__ <br />_5__ <br />7 <br />9 <br />12__ <br />14 <br />16___ <br />18w <br />21 <br />(j a i ■ <br />/^ac, <br />■be t <br />t-L-t Z/-X-C- , zj / <br />a.! <br />Q SJ) rnt- <br />COMPUTER NUMBER <br />TIME IN <br />CDI <br />i-A ^e.-- <br />NAME <br />£Lic-.y~a?/c-£ i2-b \STTjC4srTC'fO <br />c <br />b . VZ-C (ci <br />PAGE OF SP' <br />//r T? r/ <br />/ <br />O'Lx. / 71/t /1 <br />Qt/yc/n m i <cec<.~h-/ <br />y ZFr-?- <br />/ <br />61 <br />NO I I <br />DEF. || <br />CA.'tll \p <br />a 4- < -e 4 <br />Safety Inadequate <br />SYSTEM STATUS: (MARK ONE) <br />59 60 <br />MINOR I I <br />OEF. || <br />(. (.< /ZC/.X- vc/j Z /1 't'pj <br />( / ) y^etz/TTOcl <br />< e'g Ze-x-' t <br />O<4-0 X-g-bo. r~.cCCVte-J /< t <br />■eye J). Lis I <br />d c-ic "b-’ be' isiring.' ■ <br />o f "b- <br />f\ 0 r'Ot/z ztnxA <br />/ zu c(( cab <br />0:11. /i ~~/i Otr^g^uj ■ <br />(4 ba-a cb-' isb gs <br />. r exJ/xZs <br />C'-)r\ <br />"bj ''/v ^sGr^z--c<£S <br />pb c. ^S~ y-C-At r K <br />bCw du^’cii A <br />RECEIVED BY: