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SWI1VIMI\G POOL OFFICIAL INSPECTION REPORT ' <br />` SAN JOAQ- -4 COUNTY PUBLIC HEALTH SEI CES <br /> ENN...AcONMENTAL HEALTH DIVISION -- <br /> t 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON, CA 95202 <br /> (209) 468-3420 <br /> BUSINESS ADDRESS a DATE <br /> G 23—D3 <br /> OWNERS NAMEIDBA COMPUTER NUMBER <br /> ` acs f�er ht 110A <br /> MAILING ADDRESS TIME IN <br /> PERMITILICENSE PROGRAMIELEMENT SERVICE TIME OUT <br /> DM CLMP OTHER <br /> RATE OF FLOW . TE <br /> 7 �p CLIP n %arc <br /> SIR OPER The marked items represent Health Code violations and must be corrected, as <br /> U, Filters 1 2 follows: <br /> L <br /> Pumps 3 4 (} /• � ym <br /> D Chlorinator 5. 6 ��PIOy'• -( rn d-^'� P 9-s0 r, Jtj CLQ• <br /> Q Ffowmaler -T---W— <br /> 1 1 <br /> Z Gauges 9' 10 �� .,1N ' <br /> -(13 9- � � 4 L9 K•- <br /> l— skimmer& Gutters 11 12 <br /> 14 C jl,ttl h/nr�f nt rCe�2U we Tp <br /> ` <br /> ,Back Flow Prevention 13 il <br /> C <br /> 1 16Waste Water Prevention 5¢U Water Supply d Quality 17. 18, 30 <br /> IL Pipe 4 Fittings 19; <br /> Pool Shell 20 TIC/1'P KAV1� rL'0 <br /> or Bottom&Sides <br /> 00 <br /> Decking d Coping Adl / /t-],)'L <br /> � Diving Boards <br /> ' <br /> - <br /> +/ <br /> y� <br /> Assure Pole 271 28; { Ip'y 7 �. Vl flx 25 raki /0 ✓"1 l/ 4di <br /> Z Life Rings 29'. 30, 6 " r <br /> E Safety Signa 31 i 32 ,fE..I 1 j C'(,l) E•1� •^t.2 'l A"K I✓ �C� � t{t <br /> Lifeguard 33- 1 ) <br /> o Lighting Elec. 34' 35 CA. Yah/� Oki h `"N �� /rL t +l 6 r <br /> W <br /> Ladders 38: 37 (/J1,.l�n A A <br /> DO Depth Markers 38- 39' x-) ( -•4vv -41�t <br /> G First Aid Kits 40: 41: <br /> N Gas Masks 42 43 t''1 �j• „ l( r c� 11tC„Q /J ..� G(f{IV r C5,. <br /> �N Showers ,y <br /> WM <br /> M 44 45 ..�F�^t^'/ .Deasy 14 11p '.V" w 7tJT7 r-�K-C.4P . <br /> WOO Toilet 8 Dressing 46'- 47 `V/ I't77ii <br /> ventilation 48; 49. P / <br /> Chlorine 50 7 l,j <br /> Q 'L CI P7M I, T .� Gra.�F,L (l{' <br /> " 1 <br /> v 51. - IT n f'� ( �/ <br /> O< Cyanurates 52, "q^!' A t:>_.Y /l 0.1 (1 �'_/.I C /Et V <br /> IlQ clarity 53 <br /> Test Kill 54: 1.i CY,1 5• '� 11 D i Ulf -;r'0 !a.- w 0d r <br /> Supe"islon 3 Control 155i •"/ t ` <br /> Ui <br /> M General Sanitation 156 b.c`1 L�_e / S l•• �� /� t'�'A 64' <br /> I- '•r/ v 1' ` <br /> O Miscellaneous 57. NJ ©` / ` <br /> POOL STATUS: (MARK ONE) "I 4. <br /> e � Ga Fa Pa c� 1;0 - DU r1PyM , I F^'�" ((220 <br /> (51 "1ECEIVED BY: <br /> l`1y1YI4W\12lkTaLAYFAL'TN`STECIGLIST <br /> oug.cun�reg51 PAGE ( OF /' <br />