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TIME OUT <br />MAJOR <br />t-r'H y-C i,Location <br />Disinfection <br />cr)<.Filtration <br />Treatment Other <br />tx^ it.de 04. i' <br />'Aa <br />c .o <br />z -X <br />^CCVc> O. K <br />/V<IX t'l^ <br />'/'LiL.'e . <br />ir-e^etfX t'C.<yc> <br />Ci."/- -ticiX •/-irv-l-X <br />Turb. Std. Not Met Chronic <br />Pub. Notification Turb. <br />Permit None Valid <br />Source <br />OFFICE ADDRESS AND PHONE NUMBER <br />/ <br />J <br />PAGE OF <br />© "2/88 <br />Storage <br />Distribution <br />-t <br />'l/g'2-- /Jo <br />z <br />a a <br />m <br />o <br />Seed. Chem. Insult. <br />Seed. Chem. Std. Not Met <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 Met 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 />Turb. Insutf. Interm <br />Turb. Std. Not Met Interm. <br />Number of Samples Insult <4 Samp <br />Number of 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 />Pub. Notification Bact. <br />Sewage <br />Activity <br />Flooding <br />Construction <br />Equip. Maint. <br />Records <br />No Operator <br />Cross-Con. Program <br />Storage <br />Piping <br />Cross-Con. Problem <br />MAJOR <br />DEF. <br />MINOR <br />DEF. <br />The marked items represent Health Code violations and must be cor­ <br />rected as follows: <br />SMALL WATE YSTEM OFFICIAL INSPECTION <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERV <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N SAN JOAQUIN, PHONE (209)468-3420 <br />P 0 BOX 2009, STOCKTON, CA 95201 <br />SERVICE <br />o z <br />s <br />co <br />£ <br />o <br />i <br />■PORT <br />ES <br />i-it i( he- Ce tic o/edi a't~ <br />< o <br />e g <br />o <br />5 s <br />2 <br />a <br />£cn <br />LU <br />O <br />£ <br />s <br />ac <br />at <br />Of- <br />5SOa- tn <br />Consumer Acceptance Not Met <br />Turb Insult. 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 />27 <br />28 <br />29 <br />30 <br />31 <br />32 <br />33 <br />34 <br />55 <br />56 <br />57 <br />58 <br />51 <br />52 <br />53 <br />54 <br />24 <br />26 <br />MINOR <br />3 <br />_5__’ <br />_7__ <br />9 <br />12__ <br />14__ <br />16__ <br />18 <br />W <br />21 <br />NAME <br />LOCATION <br />fb/CT) c d'r7-’ <br />MAILING ADDRESS ' <br />1 <br />2 <br />4 <br />6 <br />8 <br />10 <br />11 <br />13 <br />15 <br />■<7i <br />19 <br />20 <br />23 <br />25 <br />OWNER/OPERATOR <br />PROGRAM/ELEMENT . <br />_________ <br />t-r', eft <br />tx/A -e1 , <br />Safety Inadequate <br />SYSTEM STATUS: (MARK ONE) <br />59 60□ ^f0R Q <br />EH-154 rev. <br />/ct 't'/Lg <br />■4-f 11 / <br />s <br />fin. tX ct- li-Xj "/JJ <br />6^) <br />cx-ii ft <br />CDI <br />7 /O; /7V6 <br />COMPUTER NUMBER <br />TIME IN <br />DAR <br />RECHECK*DATE < <br />^<44 Z> /<-YA<>'-X <br />if <br />RECBytD BY: <br />SANITARIAN: <br />61 <br />NO I I <br />DEF. || <br />fh t u !