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NAME DATE <br />OWNER/OPERATOR <br />TIME OUT <br />CA->uS. <br />HcL(jUu &Location <br />Disinfection <br />isFiltration -f <br />Treatment Other <br />-S~r- !< A i X <br />j- ■ j^ez jj»y-C< <br />Std. Not Met For >8 Mo <br />Pub, Notification Bact. <br />Seed. Chem. Insult <br />Seed. Chem. Std. Not Met <br />Turb. Insutf. Interm <br />Turb. Std. Not Met Interm <br />Turb. Std. Not Met Chronic <br />Pub Notification Turb <br />Permit None Valid <br />Source <br />OFFICE ADDRESS AND PHONE NUMBER RECEIVED BY: <br />SANITARIAN: <br />PAGE OF <br />(p)m EH-154 rev.2/88 <br />■e'er f-t <br />Ccrvu. a i <br />CO <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. Insutf. <br />Org. Std. Not Met Required <br />Org. Std. Not Met Other <br />Pub. Notification Org. <br />Storage <br />Distribution <br />Number of Samples Insutf < 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 />No Operator <br />Cross-Con. Program <br />Sewage <br />Activity <br />Flooding <br />Construction <br />Equip. Maint. <br />Records <br />MAJOR <br />DEF. <br />Storage <br />Piping <br />Cross-Con. Problem <br />0 <br />Z <br />0 <br />< <br />O <br />0 g <br />o <br />£ <br />b <br />2 <br />LOCATION <br />/VIcry <br />MAILING ADDRESS <br />< <br />o <br />0 <br />UJ <br />O <br />C <br />£ <br />Q <br />£ <br />0 <br />£ <br />Ol o <br />UJOh <br />Oo. m <br />//TOO ^2^ -f <br />CeZ <br />COMPUTER NUMBER un^/e/^ <br />TIME IN <br />Consumer Acceptance Not Met <br />Turb. Insuff. Chronic <br />35 <br />36 <br />37 <br />38 <br />39 <br />40 <br />41 <br />42 <br />55 <br />56 <br />57 <br />58 <br />31 <br />32 <br />33 <br />34 <br />43 <br />44 <br />45 <br />46 <br />47 <br />48 <br />49 <br />50 <br />51 <br />52 <br />53 <br />54 <br />27 <br />28 <br />29 <br />30 <br />24 <br />26 <br />_3__ <br />5 <br />7 <br />9 w <br />12__ <br />' 14 <br />~16 <br />'l8 <br />21 <br />SERVICE . <br />The marked items represent Health Code violations and must be cor­ <br />rected as follows: <br />MAJOR I MINOR) <br />_2^ <br />_4 <br />_6 <br />_8 <br />' 10 <br />11 <br />11 <br />17 <br />19 <br />‘ 20 <br />23 <br />25 <br />8$ <br /><nK <br />tn <br />i <br />RECHECK DATE <br />'SMALL WATL SYSTEM OFFICIAL INSPECTIOI 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 />61 <br />NO I I <br />DEF |I <br />IcyLtS. <br />t<L c c< /~h^ / <s.(7 a <br />PROGRAM/ELEMENT <br />_________ <br />Safety Inadequate <br />SYSTEM STATUS: (MARK ONE) <br />59 60 <br />MINOR | IDEF. ||