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1 <br /> SWIMMING POOL OFFICI.AL INSPECTION REPORT <br /> SAN JOAQUIN IUNTY PUBLIC HEALTH SERVII <br /> ENVIR(,.,MENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR .. <br /> STOCKTON, CA 95202 <br /> (209) 468-3420 <br /> BUSINESS ADDRESS DATE <br /> Maf- ,k l_ I? iZ G <br /> OWNER'S NAME/DBA COMP ER NUMBER <br /> MAILING ADDRESS TIME IN <br /> PERMITILICENSE PROGRAMIELEMENT 55/ERVICE TIME OUT <br /> 1� 'CU I IL <br /> RATE OF FLOW DN CL. TEMP OTHER <br /> SIR OPER The marked items represent Health Code violations and must be Corrected, as <br /> Z Filters 1 2 follows: <br /> n Pumps 3 4 1^ <br /> D Chlorinator 5 6 �' L4.,+p I Lf C.' ✓ T <br /> Cl Flowmeter 7 8 <br /> Z Gauges 9' 10 <br /> 1- skimmer a Gutters 11 12 I_ <br /> •� Back Flow Prevention 13 14 `OC— w ! "X�- Jd6IJ I'(� ^- <br /> n <br /> U Waste Water Prevention 15' 116 <br /> U.1 water supply a Quality 17 18; I F t 1 S ' ' T \ <br /> ¢ I Pipe d Fillings _ <br /> O Pool Snell 20 �r ?e!�' <br /> ZU Bottom a sides 21' 22 <br /> OOQ Decking d Coping 23 24 <br /> Diving Boards 25 26i ppF <br /> Fissure Pole 27! 28� �� ,r- Tc0 IIL . (, <br /> Z Life Rings 29! 30. <br /> w <br /> Safety Signs 31. 32` I w ✓1 �P.-I /- �n <br /> f <br /> n Lifeguard 33. tl q I <br /> o Lighting Else. 341 35 r X <br /> w <br /> � Ladders 38 37 <br /> W Depth Markers 36 39 4—g !' c Wf-' <br /> u. <br /> N First Aid Kits 40 Ti— <br /> . <br /> Gas Masks 42 43d 1 _ L")'l � <br /> w 91 <br /> �0 showers 44 45 II^ I <br /> OR Toilet d Dressing 46' 47 •1"O✓zL� -/"O `l )f'- -r '• I✓� <br /> ¢¢ Ventilation 48; 49. <br /> Chlorine 50. <br /> �r <br /> pH 51' <br /> 00< Cyanurates 52: <br /> o.Q Clarity 53• / <br /> Test Kits 54' <br /> ¢ suoarvlelon A Control 55:' <br /> w <br /> 2 General Sanitation 56 <br /> I- - <br /> O Miscellaneous 57, <br /> POOL STATUS: (MARK ONE) <br /> Ea Ca Fa P [] Cr <br /> RECEIVED BY: <br /> . <br /> Y XL X X 9 LI <br /> on5.qu.=z IR n1 PAGE <br />