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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQ- N COUNTY PUBLIC HEALTH SET CES <br />ENS' .AtONNIENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS <br />DATE <br />OWNER'S NAME108 <br />W <br />COMPUTER NUMBER <br />P1111 <br />1 <br />2 <br />.*-D IolO <br />MAILING ADDRESS <br />IL <br />TIME IN <br />5 <br />6 <br />//00 <br />PERMITILICENSE <br />Olu <br />PROGRAMIELEMENTSERVICE <br />� fir- <br />TIME OUT <br />= <br />O <br />Gauges <br />9' <br />e- <br />11 <br />RATEOFFLOWp�� <br />pN �� 7, <br />CL� O <br />TEMP ( 0 / <br />'�0 l/rY <br />OTHER P xoPpr'l <br />q <br />n. <br />Cemh <br />16 <br />2 <br />F <br />SIR <br />OPER <br />W <br />Fillets <br />1 <br />2 <br />3 <br />4 <br />IL <br />Pumps <br />5 <br />6 <br />7 <br />Chlorinator <br />Olu <br />Flowmeler <br />7 <br />6 <br />= <br />O <br />Gauges <br />9' <br />10 <br />11 <br />12 <br />Ac <br />Skimmer 8 Gutters <br />13 <br />14 <br />-I <br />Back Flow Prevention <br />151 <br />16 <br />2 <br />Waste Water Prevention <br />17. <br />16, <br />O <br />Water Supply 8 Duality <br />2 <br />Pipe & Fittings <br />19, <br />PAGE OF <br />0 <br />Pool Shell <br />20 <br />21 <br />22 <br />il- <br />Bottom a 51063 <br />00 <br />Decking d Coping <br />23 <br />24 <br />Diving Boards <br />25 <br />26• <br />Resurs Pole <br />27! <br />28, <br />29' <br />30. <br />Z <br />Life Rings <br />31: <br />32' <br />E <br />Barely Signa <br />33 <br />p' <br />Lileguard <br />Lighting Elea. <br />34 <br />35 <br />W <br />Ladders <br />36 <br />37 <br />38 <br />39 <br />W <br />LL <br />Depth Markers <br />40+ <br />41 <br />,a <br />First Altl Kits <br />42 <br />43 <br />Gas Mmka <br />F� <br />Showers <br />44 <br />45 <br />461 <br />47 <br />¢ <br />Toilet 8 Dressing <br />00 <br />Ventilation <br />48; <br />49. <br />Chlorine <br />50 <br />PH <br />51 <br />O< <br />Cyanurales <br />52, <br />aQ <br />Clarity <br />531 <br />Test Klta <br />54' <br />lL <br />sumNmlon d control <br />55' <br />LU <br />x <br />General Sanitation <br />56 <br />1- <br />0 <br />Miscellaneous <br />57. <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E❑ G❑ F[] P❑ C❑ <br />?00/ ld8 <br />gpoer <br />!10 <br />�J <br />oHS..-N .ng ISryS.) <br />��.. �,ceJ� 3• � <br />The marked items represent Health Code violations and must be corrected, as <br />follows. <br />d z- <br />b <br />r✓h -f47 61 C1 c s DTD • �r� v i <br />CA" <br />f16 <br />r e -ho r; ne- <br />IVED 8 <br />IT <br />PAGE OF <br />