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DATE <br />OWNER/OPERATOR <br />TIME OUTPROGRAM/ELEMENT V4- .33 <br />£L,I X <br />c .rLocation <br />Disinfection <br />I 6Filtration <br />Treatment Other <br />i> <br />Pub Notification Bad.+t <br />alz <br />/1 *u>S 1 <br />^■35 c-wc/f <br />Turb. Std. Not Met Interm. <br />Turb. Std. Not Met Chronic <br />Pub. Notification Turb.■Si /J'n- <br />Permit None Valid <br />f-i/e L-ocd'irSource <br />RECEIVED BY: <br />SANITARI. <br />PAGE <br />2/88 <br />Storage <br />Distribution <br />m <br />D <br />Inorg. Insult. <br />Inorg. Std. Not Met Nitrate <br />Inorg. Std. Not Met Selenium <br />Inorg. Std. Not Mel 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 />Seed. Chem. Insuff. <br />Seed. Chem. Std Not Met <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 />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 />Sewage <br />Activity <br />Flooding <br />Construction <br />0 z <br />co <br />5 <br />o <br />< o <br />o o <br />o <br />£ <br />b s <br />LU <br />I o <br />£ <br />oc <br />Q a <br />CD <br />UJ <br />Of- <br />oo.(A <br />< <br />o <br />Consumer Acceptance Not Met <br />Turb. Insuff. Chronic <br />Turb. Insuff. Interm <br />23 <br />25 <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 />27 <br />28 <br />29 <br />30 <br />31 <br />32 <br />33 <br />34 <br />51 <br />52 <br />53 <br />54 <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 />/ f / <br />COMPUTER NUMBER <br />Z224 <br />TIME IN <br />3 <br />5 <br />7 <br />9 <br />W <br />12___ <br />14__ <br />16 <br />18 <br />21 ___ <br />22 __ <br />24 <br />26 <br />/4t <-<.<iSc <br />Safety Inadequate <br />SYSTEM STATUS: (MARK ONE) <br />59 60 <br />□ Te?” Q <br />EH-154 rev. <br />C L ^jjci <br />LU <br />CDI <br />SERVICE. . <br />_______ <br />The marked items represent Health Code violations and must be cor­ <br />rected as follows: <br />NAME <br />LOCATION <br />ICic-Q L <br />MAILING ADDRESS <br />■^y)~hc s St <br />, toes / z €jj-s.'4 <br />■Mzi i AVUi.-'/z />« "M l>Cc <br />OFFICE ADDRESS AND PHONE NUMBER <br />MAJOR I MINOR I <br />Ct; <br />SMALL WATE dYSTEM OFFICIAL INSPECTIOt EPORT <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 />Ctc / Ay ■ <br />Sy'S/cw-S. <br />f-etdices. S’l "/‘te. ■ yX- <br />r~t <br />S^ik- _________ <br />(j) fiJe>-'//•■■- 4c<i(d<■ <br />-h^ tdz cS - /d- l-^a c L /, <br />“0 <br />61 <br />NO I I <br />DEF || <br />________Q ftitjc tc^‘- <br />lELas/- I At C <br />_____C^) 2.^) cayjQ-c.t'h^ <br />__________~rk~ ct-c-4 /»zw-s , — -33 S-^e. <br />£<-jBcdi- Az’yn U <br /><j<? //p'>v j o2~sj5"o VA /^6c^ ■ <br /><2 - yi'z ^>t4s is <br />OF