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SWIMMING POOL OFFICI.AL INSPECTION REPORT <br />SAN JOAQUY "OUNTY PUBLIC HEALTH SERVICES <br />ENVIIA�NMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209)468-3420 <br />F. o P(ITr1 folly) (11 TE.. r., <br />-Li -Ino <br />. .. .. • :e <br />OM <br />SIR <br />DATE <br />BUSINESS ADDRESS <br />O -zo -O' 1 <br />LU <br />(405L <br />1 <br />2 <br />LU <br />Pumps <br />3 <br />R <br />COMPUTER NUMBER <br />OWNER'S NAMEtOBA <br />Chiminalor <br />5 <br />6 <br />C1 <br />Flowmeter <br />7 <br />8 <br />Z <br />O <br />Gauges <br />9' <br />TIME IN <br />MAILING ADORES$ <br />12 <br />1- <br />Skimmer It Gultera <br />a <br />-� <br />Back Flow Prevention <br />�c0 <br />14 <br />15, <br />16 <br />PROGRAMIELEMENT SERVICE <br />TIME OUT <br />PEPMITIUOENSE <br />18. <br />Zo <br />water Supply 6 Oua111y <br />19, <br />CL -.g TEMP OTHER -U( oa - <br />RATE OF FLOW <br />PH <br />g0. <br />20 <br />Aw <br />�— <br />1L• <br />EP <br />Bottom d Sltlea <br />00¢ <br />I 1—, -TL. _— 2/1 ...a <br />F. o P(ITr1 folly) (11 TE.. r., <br />-Li -Ino <br />. .. .. • :e <br />OM <br />SIR <br />OPER <br />H <br />LU <br />Filers <br />1 <br />2 <br />LU <br />Pumps <br />3 <br />4 <br />a <br />n <br />Chiminalor <br />5 <br />6 <br />C1 <br />Flowmeter <br />7 <br />8 <br />Z <br />O <br />Gauges <br />9' <br />10 <br />11 <br />12 <br />1- <br />Skimmer It Gultera <br />a <br />-� <br />Back Flow Prevention <br />13 <br />14 <br />15, <br />16 <br />O <br />Waste Water Prevention <br />17. <br />18. <br />W <br />water Supply 6 Oua111y <br />19, <br />¢ <br />Pipe a Fittings <br />O <br />Pool Shell <br />20 <br />21 <br />22 <br />iU <br />Bottom d Sltlea <br />00¢ <br />Decking a Coping <br />23 <br />24 <br />25 <br />26 <br />V <br />Diving Boards <br />Reeure Pole <br />271 <br />28- <br />29' <br />30. <br />z <br />Lilo Rings <br />311 <br />32' <br />UJ <br />Safety Signs <br />33 <br />o' <br />Lifeguard <br />Lighting Else. <br />34� <br />35 <br />Ladders <br />3fi' <br />37 <br />38 <br />39 <br />UJ <br />Depth Marken <br />LL <br />a <br />rn <br />First Aid Nin <br />40: <br />41 <br />42 <br />43 <br />Gas Masks <br />Showers <br />44 <br />45 <br />Fw <br />Toilet 6 Creasing <br />46' <br />47 <br />Iu0 <br />¢¢ <br />Venliatlon <br />48; <br />49. <br />Chlorine <br />50 <br />PH <br />51- <br />1Oa�>. <br />Cyenurates <br />52. <br />0, -C <br />P_Q <br />Clarity <br />51 <br />Teal Nlb <br />54' <br />¢ <br />Suparvmlon 8 Control <br />55' <br />w <br />S <br />General Sanitation <br />56 <br />1 <br />O <br />Mlar.euaneous <br />57, <br />POOL STATUS: (MARK ONE) <br />E Gr] Fa P[] <br />Ca <br />F. o P(ITr1 folly) (11 TE.. r., <br />-Li -Ino <br />. .. .. • :e <br />OM <br />� SII w � • \Lr11 _ [ � <br />S- � IL.• I _l / <br />e ■ i•. <br />• /• Ia <br />1 I ■•i • It e <br />■L• a.1. • • I BREW <br />• 111 �. <br />a • <br />I 1 <br />.a 1 • <br />1 1 <br />a • s L • L <br />I 1 � _. <br />s • et. <br />s r. r lV <br />Ib <br />�� a l• Ltll_ I t <br />l N. <br />. <br />