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SWIMMII ?OOL OFFICIAL INSPECTION RI RT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS <br />STR <br />DATE <br />r <br />Si/ G��carc <br />[�k�-� C� rf�J <br />9S2 -arta <br />8 <br />2s G3 <br />OWNER'S HAMEIDBA <br />2 <br />COMPUTER NUMBER <br />C-o..�,I]c�vt[rrJrun-tS <br />3rn�a <br />,� <br />36�T1�� <br />) 0f AJ <br />6 <br />ME IN <br />MAILING ADDRESS <br />8 <br />,36.ri <br />2 <br />3 4 o2.6S' <br />PERMITILICENSE <br />PROGRAMIELEMENT <br />SERVICE <br />TIME OUT <br />QSkimmer <br />14 <br />Back Flow Prevenlion <br />RATE OF FLOW <br />pN <br />Waste Water Prevenlion <br />LL' <br />TEMP <br />0 <br />OTNER <br />w <br />¢ <br />a P)FF-r CF_ ,`9rrOIt- /S+P A r <br />The marked items represent Health Co a violations and must be correctet, as <br />follows: <br />1. C o'- . o 7, w l dC fC a S C-44 <br />SB'ff /r i.., `{7i2- Gtc aK ccr.. or w� m C—a Ce' -e <br />I w c�c c- Q� n a Y-Zc.uPSf Cv''^e 00 / uJ <br />✓atVe C'ov� "O bow avcaS S✓uWFli TO <br />OU L:J O✓�. 111 l<I'G-c P:. uve_ w`= -t -L' <br />2� J n_ r wale ✓r o .� 'fy� w`a .�ce- l- t S cC¢ of • <br />%s S Dca<f Wl�� . d«I S'D a ePd a <br />a -d d . c r•LR/ y ,tie- ✓ r p ... Karr. „(ee ccs wr-caS <br />�> � I,•e J < .vim-I.<o � rnn.a � Cec .-s — a d d <br />r <br />F -r. <br />'3� ✓a cL � F S o r � rl arta/ , rbc r� <br />a�S b S 7ot> /Q -lulu C vim« �< <br />+ Y'e� r-7Sz <br />,- 0 rt)/,.,0-1•-//�� vt7/ a <br />EIV <br />,�( <br />/v fN.-C. � �/�Q.e �i Lt�r. <I✓� tiL YYIX�! 1 iX LLISi <br />S'GL wCo/ naY Kcptd t< S <br />of /OAOw Cs^eCr...n —4 �' E OF / <br />/•e -U, e- i/ 1 r1 e_ r uet, •r.� v�L cru. ✓rnal-�cw rr r c v. cr <br />M'L<Z j 16,C 6L ✓Yo fr r r.e c7 '-Laic e w <C a...� t'L ues "e a c. <br />STR <br />OPER <br />r <br />W <br />Filters <br />2 <br />4 <br />n <br />Pumps <br />Chlorinator <br />6 <br />wFlowmeter <br />8 <br />= <br />Gauges <br />F5. <br />10 <br />8 Gullars <br />QSkimmer <br />14 <br />Back Flow Prevenlion <br />16 <br />Waste Water Prevenlion <br />17. <br />18 <br />0 <br />Water Supply 8 Quality <br />w <br />¢ <br />I Pipe 8 Fittings <br />19. <br />Pool Shell <br />20 <br />O <br />21' <br />22 <br />Z V <br />Bottom 6 Sides <br />U ¢ <br />Decking S Coping <br />23 <br />24 <br />Diving Boards <br />25 <br />26, <br />Reture Pols <br />271 <br />28, <br />29' <br />30, <br />z <br />Lila Rings <br />T1' <br />Safely Signs <br />33 <br />a <br />Lifeguard <br />Lighting Else. <br />34' <br />35 <br />W <br />Ladders <br />36'' <br />37 <br />38' <br />39 <br />LU <br />Depth Marken <br />Q <br />rn <br />First Aid Kill <br />40. <br />41. <br />42 <br />43 <br />Gas Masks <br />Showers <br />44 <br />45 <br />w0 <br />relief 8 Dressing <br />46' <br />47 <br />¢¢ <br />48; <br />49. <br />Ventilation <br />Chlorine <br />50 <br />PH <br />51. <br />OaCyanuntes <br />52. <br />as <br />Curdy <br />53 - <br />Test Kits <br />54' <br />¢ <br />Supervulon a Control <br />155, <br />w <br />M <br />General Sanitation <br />SG <br />O <br />Miscellaneous <br />57, <br />POOL STATUS: (MARK ONE) <br />Ea Ga F[] P[] <br />Ca <br />RHS.EH 142 rAa151 <br />a P)FF-r CF_ ,`9rrOIt- /S+P A r <br />The marked items represent Health Co a violations and must be correctet, as <br />follows: <br />1. C o'- . o 7, w l dC fC a S C-44 <br />SB'ff /r i.., `{7i2- Gtc aK ccr.. or w� m C—a Ce' -e <br />I w c�c c- Q� n a Y-Zc.uPSf Cv''^e 00 / uJ <br />✓atVe C'ov� "O bow avcaS S✓uWFli TO <br />OU L:J O✓�. 111 l<I'G-c P:. uve_ w`= -t -L' <br />2� J n_ r wale ✓r o .� 'fy� w`a .�ce- l- t S cC¢ of • <br />%s S Dca<f Wl�� . d«I S'D a ePd a <br />a -d d . c r•LR/ y ,tie- ✓ r p ... Karr. „(ee ccs wr-caS <br />�> � I,•e J < .vim-I.<o � rnn.a � Cec .-s — a d d <br />r <br />F -r. <br />'3� ✓a cL � F S o r � rl arta/ , rbc r� <br />a�S b S 7ot> /Q -lulu C vim« �< <br />+ Y'e� r-7Sz <br />,- 0 rt)/,.,0-1•-//�� vt7/ a <br />EIV <br />,�( <br />/v fN.-C. � �/�Q.e �i Lt�r. <I✓� tiL YYIX�! 1 iX LLISi <br />S'GL wCo/ naY Kcptd t< S <br />of /OAOw Cs^eCr...n —4 �' E OF / <br />/•e -U, e- i/ 1 r1 e_ r uet, •r.� v�L cru. ✓rnal-�cw rr r c v. cr <br />M'L<Z j 16,C 6L ✓Yo fr r r.e c7 '-Laic e w <C a...� t'L ues "e a c. <br />