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SWIMMI' 'POOL OFFICIAL INSPECTION R" ORT <br />SAN JOAQ _iN COUNTY PUBLIC HEALTH SES.. ICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209)468-3420 <br />BUStNE55 ADDRESS <br />t 1p�S� <br />r) <br />a i 1. <br />DATE I, <br />1 V <br />c <br />&follows: <br />—Jur.�. <br />r. <br />TE <br />COMPUTER NUMBER <br />OWNER'S NAME <br />410�/DBA <br />1 II✓T <br />LU <br />S� <br />TIME IN <br />MAILING ADDRESS <br />Chlorinator <br />5, 6 <br />Ow <br />Flowmaler <br />7 8 <br />PROGRAMIELEMENT E <br />TIME OUT <br />PERMIiIUCENSE <br />11 12 <br />31011 $1,''l p-- <br />Skimmer d Gullem <br />PATE OF FLOW <br />Back Flow Prew,nllon <br />DH <br />7 <br />U <br />CL TEMP <br />OTHER <br />PHS.cw o21F551 <br />The marked items represent Health Code violations and must be corrected, as <br />STR OPER <br />&follows: <br />—Jur.�. <br />r. <br />Finers <br />1 2 <br />LU <br />Pumps <br />3 4 <br />a <br />M <br />Chlorinator <br />5, 6 <br />Ow <br />Flowmaler <br />7 8 <br />— <br />9' To <br />Z <br />Z <br />Gauges <br />11 12 <br />P <br />Skimmer d Gullem <br />a <br />Back Flow Prew,nllon <br />13 14 <br />7 <br />U <br />Waste Water Prevention <br />15, 16 <br />U <br />Water Supply 8 Duality <br />¢ <br />PIP, d Fillings <br />19, <br />O <br />Pool Shell <br />20 <br />21 22 <br />ZU <br />8 Sides <br />USallom <br />¢ <br />Decking 6 Coping <br />23 24 <br />1— <br />DWing Boards <br />25_ 26• <br />Resure Pole <br />27! 28-- <br />29' 30. <br />Z <br />Life Rings <br />31 32' <br />Safety Signa <br />33 <br />a <br />Lifeguard <br />34: 35 <br />O <br />Ugnting Elec. <br />w <br />Ladders <br />38' 37 <br />36 39 <br />a <br />Depth Marken <br />Va, <br />First Aid Kits <br />40. 41 <br />42 43 <br />Gas Masks <br />Stowers <br />44 45 <br />rN <br />i <br />w0 <br />Toilet a Dressing <br />46' 47 <br />¢¢ <br />Ventilation <br />48; 49. <br />Chlorine 50 <br />PH 51 <br />Oa <br />C snurtles 52! <br />Clarity 53- <br />Teal Kits 54' <br />F�-T,0 <br />Supervmlon 3 Control 55' <br />Genaree Sanitation SG <br />Miscellaneous 57• <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 62 <br />E❑ G❑ F❑ P11 c❑ <br />PHS.cw o21F551 <br />The marked items represent Health Code violations and must be corrected, as <br />&follows: <br />—Jur.�. <br />/ �J <br />u� <br />at <br />AoL 10 <br />/Q <br />a ca <br />6y\ <br />I <br />ECEI By <br />IIGL 1Nj[ <br />PAGE OF <br />