Laserfiche WebLink
Facility Name: <br />TP '9164442327 P. <br />San Joaquin County <br />Environmental Health Department <br />600 East Main Street <br />Stockton, California 95202.3029 <br />Webs/ter www.sjgov.otg'/ebd <br />Phone; (209) 468-3420 <br />Fox! (200)464 -Mg <br />DIRECTOR <br />Owns Haran, RENS <br />ASSISTANT DIRECTOR <br />Laude CoUla, REHS <br />PROGRAM COORDIMATO S <br />Carl Bergman, REMS <br />Mika Huggins, REHS, Rol <br />Margaret Laguio, REHS <br />Ruben MuClelbn, MHS <br />Jen Carrueaco, RENS, RL <br />Kasey Puny; RENS <br />Factilty Address: Rg4O JV - 1U 6L & q -a 1/0' <br />Owner Name: I6A(4,j3v 1,Nc_ <br />Authorized Representative: _ Ve J <br />I ��M («l am the owner or authorized <br />representative of the swimming pool and or spa at the above mentioned location. I <br />am providing the San Joaquin County .Environmental Health Department (EHD) <br />with this notice of my intent to: <br />Provide a plug for the equalizer line(s) with a flush wall mount fitting. 1 <br />understand that by sealing the equalizer line, damage may occur to the pump <br />if the water level of the pool/spa falls below the skimmer level. At the time <br />of resurfacing, the plug will be removed and the approved suction cover(s) <br />will be installed over the equalizer line. <br />0 Close the pool until the approved suction cover is installed over the <br />equalizer line, I agree to call EHD for a clearance inspection prior to re- <br />opening the pool/spa. <br />Reason for not installing approved equalizer line covers: <br />Signature: Q{ ,,W Date: <br />Title: hbh6w off' iyV14T7 fieti(Ar cC___ <br />CQI(i qQQ- 3,4,X3 <br />