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SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> SAN JOAQi"N COUNTY PUBLIC HEALTH SEP-'ACES <br /> ENS _.ONNIENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON, CA 95202 <br /> (209) 468-3420 <br /> BUSINESS ADDRESS DATE <br /> OWNER'S NAME/OB COMPUTER NUMBER <br /> P PO-,3& v / C,/ <br /> MAILING ADDRESS <br /> TIME IN <br /> PERMITILICENSE PROGRAMIELEMENT SERVICE TIME OUT <br /> RATE Of FLOWrYli p�r,t PH Cl TEMP OTHER <br /> STR OPER The marked items represent Health Code violations and must be correctel, as <br /> Z Filters 1 2 <br /> follows: <br /> U.1 <br /> Pumps 3 4 <br /> a I <br /> 7 Chlorinator 5, 6 CFNfi4gl►4 Ino R P <br /> Ow Flowmeter 7 8r2 <br /> OZ Gauges 9. 10 /e /` 2 <br /> Skimmer d Gulters 11 12 <br /> -� Back Flow Prevention 13 14 k1pou i3j C /�Ef�//9t>Il'�4 �/rN �rN{cR/vUC�L�t�R 2 Mi1jT�tr2G <br /> (J Waste Water Prevention 15: 16 <br /> Lr <br /> U.1 <br /> Water Supply&Gustily 17. 18 <br /> Cr Pipe& Fittings 19, <br /> o Pool Shell 20 <br /> Zt= Bottom d Sides 21 22 <br /> 00� Decking d Coping 23 24 Tc (� 1 t�_ Z-O 3 <br /> Q <br /> l'- Diving Boards 25 26 <br /> Fissure Pole 27! 28- <br /> z Life Rings 29° 130. <br /> ui <br /> Safely Signs 31 32 <br /> Lifeguard 33 <br /> 0 Ughting Elec. 34: 35 <br /> w <br /> Ladders 36' 37 <br /> LL Depth Markers 38 39 <br /> N Q First Aid Kits 40: 41 <br /> Gas Masks 42 43 <br /> F.2 Showers 44 45 <br /> W <br /> 0 Toilet&Dressing 46' 47 <br /> ¢Q Ventilation 481 49. <br /> Chlorine 50 <br /> �>1 pH 51 <br /> 00Q Cyanurates 52. <br /> aQ Clarity 53- <br /> Test Kits 54' <br /> Suoervislon&Control 55' <br /> w <br /> 2 General Sanitation 56 <br /> O Miscellaneous 57, <br /> POOL STATUS: (MARK ONE) _ <br /> 58 59 60 61 62 <br /> E a G ❑ F a P C❑ <br /> RECEIVE 8 s� <br /> "VI ROYMENT mEALp VECIAL <br /> PAG f OF <br /> Otis=� ^�F"451 <br /> v <br />