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' SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> SAN JOAQUIIV COUNTY PUBLIC HEALTH SERVICES <br /> ENVI_ ND2ENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON, CA 95202 <br /> (209) 468-3420 <br /> DATE <br /> BUSINESS ADDRESS <br /> 7'44 -C> Ora 7- ?--03 <br /> COMPUTER NUMBER <br /> DWNERSNAME!DBA c <br /> L*7 r 5141 f M C IA <br /> ME IN <br /> MAILING ADDRESS <br /> PERMITILICENSE PROGRAMIELEMENT SERVICE TIME OUT <br /> L90n <br /> RATE OF FLOW PH CL TEMP Ot NER <br /> STR OPEN The marked items represent Health Code violations and must be correct%% as <br /> Z Finers 1 2 <br /> follows: <br /> w <br /> E Pumps 3 4 + <br /> a Chlorinator 5, 6 <br /> 0 -D <br /> Ow Flowme+er 7 8 <br /> Z Gauped 9' to <br /> O <br /> I skimmer b Gwtera 11 12 <br /> J <br /> Bach Flow Prerenlivn 13 14 <br /> O WOMB Water Prevenllon 15: 16 <br /> ¢ G {()U <br /> U Water Supply d Quality 17: 18, e� <br /> w <br /> ¢ <br /> Pipe b Fittings 19: <br /> O Pool Shell 20 .E <br /> Zf- Bottom b Sloes 21' 22 <br /> 00¢ Decking b Coping 23 24 <br /> I' DlvinpBoard$ 25 26- <br /> Resure Pole 271 28: <br /> Z Life Flings 29! 30, <br /> UU safely Signs 31.: 32' <br /> E <br /> tl' Lifeguard 33 <br /> O Lighting Elec. 34� 35 <br /> w <br /> Ladders 36' 37 <br /> LLI Depth Markers 38 39 <br /> LL <br /> Q <br /> First Altl Kits 40: 41 <br /> N <br /> Gaa Masks 42 143 <br /> Showers 44, 45 <br /> WO Toilet b Dressing 46' 47 <br /> ¢¢ ventilation 48; 49. <br /> Chlorine 50 <br /> pH 51- <br /> 0 Cy anurales 524 <br /> Oa <br /> wo Ciaruy 53- <br /> Test Kits 54' <br /> M Suoervulon b Control 55' 1 <br /> w <br /> S General$enllallon 56 <br /> F- <br /> O Miscellaneous 57: <br /> POOL STATUS: (MARK ONE) — <br /> P3 59 60 61 62 <br /> EG ❑ F ❑ P C❑ <br /> REcerveD BY <br /> ex • .L xenLrx YECuuar <br /> PAG(/ IF <br /> otic.= •��wrncl <br />