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EN47RONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON, CA 95202 <br /> (209) 468-3420 <br /> BUSINESS ADDRESS <br /> J COMPUTER NUMBER <br /> OWNER 5 NAME!DBA <br /> ME IN <br /> MAILING ADDPE55 <br /> PERMITIUCENSE PROGRAMIELEMENT 5 CE TIME OUT <br /> V <br /> '7 <br /> PATE OF <br /> FLOW CL, J �j, TEMP OTHER <br /> J U Y kj �� S �� <br /> �. <br /> STA OPEN The marked items represent Health Code violations and must be correctel as <br /> Z Fitters 1 2 follows: <br /> w <br /> a PUMPS 3 4 <br /> M Chlorinator 5 6 <br /> 0 Flowmeter 7 6 <br /> 0z Gauges 9' 10 V` V� d�. Y/i �lC> .1.� -7, L �. <br /> Skimmer&Gutter /1 12 <br /> M Back Flow Prevention 13 14 <br /> 2 waste Water Prevention 15: 16 <br /> U Water SUPPIY d OualllY 17. Y6. <br /> Pipe 6 Fittings <br /> O Pool Shell 20 a) <br /> zi- Bottom 3 walls 21; 22 <br /> UQ Decking 6 Coping 23 24 <br /> t' DHing Boards 25 26 <br /> Raeuro Pole 271 26; <br /> !: Z Lire Rings 29' 30. <br /> WC <br /> Salary Signa 3/; 32: � <br /> f <br /> Llieguard 33 <br /> -''a Lighting Elea 34: 35 <br /> w <br /> Ladders 36 37 <br /> :+;w:. Depth Markers 36 39 <br /> y'':FlrsLAid Kits 40. 41 - <br /> Gas Masks 42, 43 <br /> °'vt Showers 44 45 r ' <br /> @5 Touet d Dressing 46' 47 <br /> ¢ L VA <br /> ¢'ventilation 48; 49. ^ C r r- <br /> Chlorine 50 '•/ L '[ "�`' 1..� <br /> JI" <br /> pit 51 <br /> 'y Cynnurates 52 <br /> clarity 53 <br /> ' Test Kits 54' <br /> a..:. <br /> 5uoervulon d Control 55' <br /> m' 56 <br /> r.T-General sen Nation _ <br /> O"Miscellaneous 57, <br /> ,. POOL STAit/5:(MARK ONE) — <br /> y E Ga Fa P[] Ca <br /> ry <br /> a & O 9Y: <br /> k <br /> yiagaEJ u <br /> { <br /> AGE OF <br /> PNS <br /> _ <br /> s <br />