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SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> SAN JOAC'IN COUNTY PUBLIC HEALTH SF--7ICES <br /> EN RONMENTAL HEALTH DIVISIOt, <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON, CA 95202 <br /> (209) 468-3420 <br /> BUSINESS ADDRESS DATE <br /> .1. S-F. 5210 <br /> OWNER'S NAMEIOBA COMPU ER NUMBER <br /> ra V� TIME IN <br /> MAILING ADDRESS , <br /> PERMITILICENSE PROGRAMIELEMENT SERVICE TIME OUT <br /> RATE OF FLC-�I M <br /> PH / CL. 'l r TEP OTHER <br /> L� <br /> � <br /> per <br /> �- <br /> SIR OPER Tile marked items represent Health Code violations and must be correctel as <br /> Z Fitters 1 2 follows: <br /> a. Pumps 3 4 II ( ( ` <br /> D Chlorinator 5 6 h -W�F'1 <br /> OuI Flowmeter 7 6 <br /> 2 <br /> O Gauges 9' 10 cenevid joolB e� <br /> G Skimmer d Guitars 11 12 <br /> -I Back Flow Prevention 13 14 �r/' ./ Keep sf4era <br /> O Waste Water Prevention 15, 16 <br /> w Water Supply a Duality 17: 18tas-� ati P050e, <br /> ¢ Pipe& Fillings 19: <br /> O Pool Shell 20 ' <br /> zi- Bottom Is Sides 21' 22 ,,��11 <br /> �7¢ Decking d Coping 23 24 A <br /> r Diving Boards 2$ 26. I L I^ , <br /> Reeure Pole 271 28' 2 f, D3C'. ✓0,1 ICC' <br /> Z Life Rings 29! 30, 1 , <br /> � Safety Signs 31; 32' kt u r_ -a,44r C V r P <br /> d' Lifeguard 33- <br /> oLighting Elec. 34' 35 a Q, <br /> Ladders 38 37 <br /> W Depth Markers 38- 39 <br /> LL <br /> N First Aid Kits 40: 41'. <br /> Gas Masks 42, 43 [/ IgrSiftj Q 4 <br /> F� Showers 44 45 I I <br /> w0 Toilet 8 Dressing 46' 47 �( p C, W n <br /> ¢¢ Ventilation 48; 49. <br /> rrI <br /> Chlorine 50- Sr'Lo e U <br /> PH 51. <br /> OOa Cyenurates i52 n <br /> aM Clarity 53, <br /> Teat Kits $4' t`. r Get <br /> ¢ SuoeTvulon d Control 55 <br /> III <br /> m General Sanitation 5G i n r0 Lc. Q O r'L �- <br /> O Miscellaneous 57, <br /> POOL STATUS: (MARK ONE) p jr o <br /> _r-G I 13 <br /> E a IS a F [] P [] C n Lit I acke fa -Rj DO <br /> DFJ T 17) RECE ED BY. <br /> 7,, bpd �1 l P <br /> E TAI. IA In <br /> RHg.cu.v2 15/351 - <br /> P E OF <br />