Laserfiche WebLink
SMALL PUBLIC WATER SYSTEM PROGRAM OFFICIAL INSPECTION REPORT <br />DateFacility <br />Address <br />WA# <br />San Joaquin County <br />Environmental Health Department <br />1868 EAST HAZELTON AVENUE, STOCKTON, CA 95205 <br />Telephone: (209) 468-3420 Fax: (209) 468-0341 Web: www.sjgov.org/ehd <br />Please be aware that failure to correct deficiencies by compliance date will result in staff time charges of $125 per hour. <br />EHD 46-01 5/22/12 Page 1 Of L SMALL PUBLIC WATER SYSTEM OIR <br />2.0 13> <br />TO V A <br />PWS ID # , <br />Phone # <br />Ki ll-L___________ <br />REHS__ < . <br />Received by . i <br />BacteriologicakRequired quarterly^ <br />each qiiftei^mogilfr. If a Routine sarTipre <br />Title 22 of the California Code of Regulations requires routine monitoring of your water system by a State certified laboratory. Sampling <br />must be performed by State certified laboratory personnel or CDO/CTO. All samples shall be taken at the wellhead, except for <br />bacteriological and Lead and Copper sampling. Please be aware that all results for samples analyzed for a system in a calendar month <br />shall be reported to the EHD no later than the tenth day of the following month. The EHD strongly recommends the use of non­ <br />threaded, dedicated sample taps for bacteriological sampling in the distribution system. <br />jr for Total coliform bacteria. Instruct your laboratory to collect a Routine sample once <br />each quwtei^nortfg. If a Routine sarflptBTests positive for coliform, instruct your laboratory to colle<(ffofl>/twe Repeats samples <br />within 24 hours of being notified by your laboratory and to collec1(^&/«rre Routine sample(s) the following month, with the results <br />enumerated and chlorine residuals reported all these samples. Notify EHD if more than one of the samples is positive. <br />Nitrates: Required quarterly/annually. <br />Nitrites: Required once every three years. <br />Inorganic Chemicals & Perchlorate: Required once every three years. EHD waived monitoring for <br />asbestos and cyanide.______________________________________________________________________________ <br />Volatile Organic Compounds (VOCs): Waived to once every six years. <br />Synthetic Organic Compounds (SOCs): EHD waived monitoring for all SOCs, except for: <br />DBCP- Required once every year/three year(s) and EDB - Required once every three years._______________ <br />Lead and Copper: Required once every six months/three years. A sample set of five/ten samples shall be <br />collected from the distribution system between the months of June through September, & six months later. <br />Radiological: Gross Alpha/Radium 228: Required quarterly for one year. EHD waived Gross Alpha <br />monitoring to once every 1/3^58 year(s). <br />Secondary (Aesthetics): General Mineral and General Physical are due every three years. <br />$ Au pU, C>A • <br />V <br />Any Sanitary Survey Significant Deficiencies? Y/N Use of Unapproved Source, Y/N Failure to Monitor/ Report/ Verify Data, <br />Y/N Failure to meet water demands, Y/N Failure to contract with CTO/CDO at proper grade, Y/N Customers received untreated water. <br />Type of System <br />__________ <br />Service <br />Hl-e (IvuC-LtV <br />General Description: This system consists of I well(s)( -do \ ) and hydropneumatic/bladder/storage tank(s) <br />@gallons. The distribution system consists of service connections serving a population of residents /employees <br />I customers/students. General land use in the surrounding area consists of: agricultural, residential, commercial, industrial, <br />rural, pristine, livestock enclosures. Sources of water for: domestic industrial irrigation fire standby <br />Treatment:Certified Distribution/Treatment Operator (CDO/CTO): <br />Cross-Connection Control: All testable backflow prevention devices are required to be tested by a State certified tester annually and <br />immediately after any installation or repair and the results submitted to the Environmental Health Department (EHD) by <br />Cross-connection control survey completed/due Double Check Valve Assemblies (dcva) <br />Atmospheric Vacuum Breakers (AVB) Reduced Pressure Principle Assemblies(RP) <br />Pressure Vacuum Breakers (pvb) Other backflow prevention devices <br />4/ 4T-.