Laserfiche WebLink
YSTEM OFFICIAL INSPECTION <br />DATE <br />OWNER/OPERATOR <br />TIME OUTPROGRAM/ELEMENT 33 <br />MAJOR <br />Location <br />Disinfection <br />C eFiltration <br />Treatment Other (jl)o —re c >-t <br />-ty <br />y <br />/<CLV'C- <br />a <br />Pub Notification Bad. <br />[led <br />cued <br />! <br />Turb. Std. Not Met Chronic <br />Pub. Notification Turb.Ci <br />Permit None Valid <br />Source <br />OFFICE ADDRESS AND PHONE NUMBER RECEIVED BY: <br />OFPAGE <br />(J) m EK-154 rev.2/88 <br />rrg? <br />co <br />p <br />Sewage <br />Activity <br />Flooding <br />Construction <br />Storage <br />Piping <br />Cross-Con. Problem <br />Equip. Maint. <br />Records <br />No Operator <br />Cross-Con. Program <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 />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 Mel Required <br />Org. Std. Not Met Other <br />Pub. Notification Org. <br />Seed. Chem. Insult. <br />Seed. Chem. Std. Not Met <br />Storage <br />Distribution <br />MAJOR <br />DEF. <br />y <br />/ <br />SMALL WATE; YSTEM OFFICIAL INSPECTION ‘PORT <br />SAN JOAQUIN 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 />rr <br />'s. <br />I {da itertA fdC et'Oua b e. <br />y <br />■Fc^ <br />0 z <br />CL <br />cz) <br />£ <br />o <br />£ <br />LU <br />< o <br />0 g <br />o <br />£ <br />b s <br />o <br />£ <br />s <br />(E <br />Q <br />£ cn <br />LU <br />Oh <br />CCO 3cr <br />OQ- co <br />& < <br />o <br />tL C £rf- PF <br />4<- , L a Is ~~h> e uF Z tz £ z -C <br />£)cct~ <br />Cd'1 F P ' (d < a vveid-e <br />_____dlcm eCc-Ji-yO <br />Pd-rodtie Po<zFt~eecl <br />Consumer Acceptance Not Mel <br />Turb. Insuff. Chronic <br />Turb. Insuff. Interm. <br />Turb. Std. Not Met Interm. <br />31 <br />32 <br />33 <br />34 <br />51 <br />52 <br />53 <br />54 <br />55 <br />56 <br />57 <br />58 <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 />COMPUTER NUMBER <br />TIME IN <br />MINOR w <br />_3__ <br />5__ <br />7 <br />9 <br />12___ <br />14__ <br />16___ <br />18 w <br />21 <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 />SERVICE , j <br />The marked items represent Health Code violations and must be cor­ <br />rected as follows: <br />~7ak / 7%-^ <br />all <br />.S. X-<ryy <br />^6 £ 7^^X <br />FcLdfadtlOe Foe <br />-Tse t' ues <br />.AX* c ~h <br />~~rTe iS^ (jdct'J-et' <br />IM <br />sB <br />gf <br />m p <br />NAME <br />g£Aie. CfCL&Ee- PlAzA_______________ <br />LOCATION <br />/ 0 f c O SA T^' <br />MAILING ADDRESS <br />flJffVC - C'A'yM.nvxcaxtc tTj t !e ct nA <br />oh i'' Pvdd. <br />61 <br />NO I I <br />DEF. || <br />msd /F- <br />Satety Inadequate <br />SYSTEM STATUS: (MARK ONE) <br />59 60 <br />MINOR I I <br />DEF. || <br />C CVi / <br />_____&pflC I ed ijj-elf /o^ /-£ ccteA uectlalafe^ • <br />_____Lui S eu (-d) t <br />(F) ft /dS ^cifttve C-fy^ -vycJ) kycttCpy) AJLa <br />/cru-A<.^e ■ Ffm. cz a/ <br />is as ^IffTuuS. •__________________ <br />SANITAWANU