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OWNER/OPERATOR <br />TIME OUTPROGRAM/ELEMENT <br />MAJOR <br />Location <br />Disinfection <br />Filtration <br />Treatment Other <br />ru2 <br />'h-<X- <br />S / 7 e.- r~ <br />cof: I ( <br />'/-e^anct'■if C\a iPub. Notification Bad. <br />/to <br />/ ' A C^M<C7tPZz<-7<Zz^L <br />A <br />LtJ A-O /vu ^3 <br />Seed. Chem. Insult. <br />/a- 2^- , Cc<l, <br />Turn. Std. Not Met Chronic <br />Pub. Notification Turb. <br />Permit None Valid <br />c£t Ca-4c. dt,/1*-/a k 111 '/z.Source <br />OFFICE ADDI RECEIVED BY: <br />61 < <br />2/88 <br />m <br />Z3 <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 Mel 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 />Turb. Insuff. Interm. <br />Turb. Std. Not Met Interm. <br />Sewage <br />Activity <br />Flooding <br />Construction <br />Number of Samples Insult < 4 Samp <br />Number ol Samples Insult 4-8 Samp <br />Number of Samples Insult. > 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. Maim. <br />Records <br />No Operator <br />Cross-Con. Program <br />MAJOR <br />DEF <br />MINOR <br />DEF. <br />NO <br />DEF. <br />SMALL WAT SYSTEM OFFICIAL INSPECTIO 'EPORT <br />SAN JCn^UIN COUNTY PUBLIC HEALTH SERyaCES <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 />w <br />LU <br />a a co <br />oI <br />2 <br />a: <br />< o <br />o g <br />o <br />5 <br />b <br />£ <br />o <br />uu <br />OF- <br />Oa. <n <br />Z < <br />a <br />AC£- <br />•/jut <br />Seed. Chem. Std. Not Met <br />Consumer Acceptance Nd Met <br />Turb. Insuff. Chronic <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 />51 <br />52 <br />53 <br />54 <br />27 <br />28 <br />29 <br />30 <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 />MINOR <br />_3__ <br />5 <br />7 <br />9 <br />12__ <br />14 <br />16__ <br />18 <br />W <br />21 <br />V-ec <br />Safety Inadequate <br />SYSTEM STATUS: (MARK ONE) <br />59 60 <br /> M^R <br />EH-154 rev. <br />o 'Pri>4^c~k —C ■b ') -/e. <br />z rt-CZ. <br />\/C. I V't <br />“L IS'/- rA-Ci <br />//a f 2\v/-r < <br />_____'S'MrJ CcckL*) <br />The marked items represent Health Code violations and must be cor- <br />rected as follows: <br />I <br />0 <br />I <br />COMPUTER NUMBER <br />TIME IN <br />SANITARIAN: <br />PAGE ^7 OF <br />L'C'e // L-YC' C-L <br />te /<o s <br />'&( ♦ -C 7* <br /><s£ /t s> X 4? <br />'/e z4~f-d '/vr <br />ts AND PHONE NUMBER <br />NAME <br />LOCATION <br />,2230-0 mile <br />MAILING ADDRESS <br /><■7 ci-/- c,2-o '-/p1' <br />/ /uSv A '/e cC c/ cl “x/ /0 d <2C /z~6. <br />^7’ •^2z?,f.£S-cl <br />DATE 7 7 <br />RECHECK DATE' <br />Zr C // S <br />________idZ-filcj Qj'Ci (t/t-e “/ OC'Otf <br />(1/ -lAaX Kg(.6i//7^ Vr-i (2c/s. <br />/mW '