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OWNER/OPERATOR <br />TIME OUTPROGRAM/ELEMENT <br />MAJOR <br />4 <^0 4^-/-II■JL <br />Location <br />Disinfection <br />CFiltration <br />Treatment Other <br />'O <br />cl,o' <br />(n^. <br />±A. <br />ISPub, Notification Bad. <br />ei i s <br />c C Cd r'ja. . <br />k c <br />a. t- <br />G <x < / <br />^yi <br />Ct <\j <br />Turb. Std Not Met Chronic <br />Pub. Notification Turb. <br />Permit None Valid <br />Source <br />OFFICE ADDRESS AND PHONE NUMBER RECEIVED BY: <br />61 <br />PAGE OF <br />2/88 <br />u <br />z <br />Z) <br />0 <br />No Operator <br />Cross-Con. Program <br />m <br />Storage <br />Distribution <br />Inorg. Insuff. <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 />Turb. Insuff. Interm <br />Turb. Std. Not Met Interm. <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 />Sewage <br />Activity <br />Flooding <br />Construction <br />Equip. Maint. <br />Records <br />Storage <br />Piping <br />Cross-Con. Problem <br />MAJOR <br />DEF. <br />MINOR <br />DEF. <br />NO <br />DEF. <br />SMALL WAT SYSTEM OFFICIAL INSPECTIC IEPORT <br />SAN JUaQUIN 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 />o z <br /><0 <br />< o <br />o g <br />o <br />E <br />G s <br />cn <br />LU <br />T <br />O <br />2 <br />£ CL <br />c -5" i. i-r/e’--. <br />Q a cn <br />£ <br />o <br />LU <br />OF- <br />OCT<n <br />, < j-r-1) Lc. -/-r <br />-fuld-s <br />5 <br />'/'Lt ~i"t cVc <br />Seed. Chem. Insuff. <br />Seed. Chem. Std Not Met <br />Consumer Acceptance Not Mel <br />Turb. Insuff. Chronic <br />55 <br />56 <br />57 <br />58 <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 />31 <br />32 <br />33 <br />34 <br />24 <br />26 <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 />27 <br />28 <br />29 <br />30 <br />t tyjc/ US'/-r'Lj <br />MINOR w <br />3 <br />5 <br />7_f <br />9 <br />12___ <br />14 <br />16 <br />18 <br />W <br />21 (■J L i <br />t'C-irbC f-Al/ r. <br />-Sr-ct. ✓ WU /X duE-cl <br />- ■■ <br />4 <br />rv Liec/otiS <br />■e.(c/£ <br />rULa c-j <br />CJ f J <br />yO <'~C v-c-rs/ A < •/y-a -Zf- c/ut/z?. 4u< t '~/i. c r <br />aa+l c ~g <br />Safety Inadequate <br />SYSTEM STATUS: (MARK ONE) <br />59 60 <br />□ Te?R Q <br />EH-154 rev. <br />C C'WLti t'A/ r^ec/l At- <br />c/; ZtCzXc <br />d b/i k idd; <br />G-dja ce-tc/ —f~° 4a.cc It '/i^ (J. C (J. ! <br />UJ <br />iE <br />m <br />I <br />C.F^IS. j !-p city <br />-fi-t/ ds /d-e <br />a txt <br />SERViGE . G T <br />_____sJT "Oct C CmOr J <br />The marked items represent Health Code violations and must be cor­ <br />rected as follows: <br />COMPUTER NUMBER <br />TIME IN <br />e-z^7 yt c- cd 'bet >- <br />LOCATION <br />L=-£{(0.117 SA ; <br />MAILING ADDRESS <br />^Llc^ ~Hd QLcrp <br />/. yc // ■/-& 'j-'d x. <br />date / 7~ <br />RECHECK DATE 1 <br />Z? f. cL /Txfl Z- Uu> t'-E'- <br />i ? i. Z ,4 z <br />Ztec '7^-7^-Vku. <br />(^c'/vCriL <br />_______/—t C a/i c:^ /^ __________________ <br />/ 'Z-tL.GCTTU.re.ci 1 <br />t Yin*. z <br />'/ci- f /& a, cZ <br />z <br />cyx a.!/ <br />k <br />■7----------