Laserfiche WebLink
UC HEALTH SERVIC�0 <br />SAN JOAQUIN COUNTY <br />TNVIRONIVIENTAL HEALTH DIVISION F j <br />Karen Furst, M.D., M.EH., Health Officer ` a Foea r <br />East Weber Avenue, 'Third Floor • Stockton, CA 95202 <br />209/458-3420 <br />[FICATION OF COMPLIANCE WITH CALEFORNIA HEALTH ANIS <br />FTY!CODE, SECTION 116049.1(a -f) <br />Pleasattach o� copy of Ilio completed;a�l signed inspection perMit.uT report from the local'. <br />build g department orlho gnalitlid eont9raetorand send to- <br />'Sans:Tnaquin County <br />PuTt71'C health Services <br />Environmental Health Division <br />Recreational health Program <br />3g4')?:ast Weber Avenue, Third Floor <br />Stacleton, CA 95202 <br />Aukuon of Sin ]oequin COW)EY Ffealib Cage Sen^.lx5 . <br />i <br />Site a <br />adress of poal(s) Z %I W ES% M/�hF LANE <br />city S7ocK7a�l <br />Nwn <br />er o£swinntning pools, spa pools, wading pools or special purpose pools at the site <br />-ONE <br />I vera <br />abov <br />; that lam the ownerihome ownerassociation presfdemllegally responsible person ibr the <br />named pools) and that I lead the podl(s) inspected for ootrtpliani e with Section 116049.4 <br />La -i) . <br />f tbc!Caiiforna Health and Safety Code. <br />Print <br />_ e; . RX VIE IN. (1276k* Date <br />Si <br />turei <br />?. iia <br />TOCti'TdA� St C9 Zip J�J202 . <br />Te) <br />hone��:. <br />i heie is:na pool I;ght ui.&s;%ese pool(s). Indicating there, is no papl:Dight mesas iliere <br />is flo fq ht fizfnt e, light casing, at recessed lightniche, whetherwerking or not <br />-csa-icana, withinxhe cvniuea iifoe pool shell. <br />Pleasattach o� copy of Ilio completed;a�l signed inspection perMit.uT report from the local'. <br />build g department orlho gnalitlid eont9raetorand send to- <br />'Sans:Tnaquin County <br />PuTt71'C health Services <br />Environmental Health Division <br />Recreational health Program <br />3g4')?:ast Weber Avenue, Third Floor <br />Stacleton, CA 95202 <br />Aukuon of Sin ]oequin COW)EY Ffealib Cage Sen^.lx5 . <br />i <br />