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SWIM IG POOL OFFICIAL INSPECTIOI _PORT <br />SAN JUAQUIN COUNTY PUBLIC HEALTH SERVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009, STOCKTON, CA 95201 <br />BUSINESS ADDRESS <br />(r4 — ARA i.flo <br />STR <br />OPER <br />UJ <br />W <br />DATE <br />1 <br />2 <br />3 <br />4 <br />M <br />Pumps <br />OWNER'S NAMEIDBA <br />6 <br />Chlorinator <br />Lu <br />COM TERN MBER <br />7 <br />g <br />0 <br />Gauges <br />9 <br />10 <br />MAILING ADDRESS <br />12 <br />a <br />Skimmer s Gutters <br />TIME IN <br />13 <br />14 <br />75-16 <br />jQ.1 <br />/ <br />PERMITILICENSE <br />18 <br />Water Supply & Quality <br />PROGRAMIELEMENT <br />Pipe 8 Fittings <br />SERVICE <br />TIME OUT <br />O <br />Pool Shell <br />PAGE OF <br />20 <br />C?Prc <br />22 <br />- <br />.L <br />RATE OF FLOW <br />Decking & Coping <br />PH <br />24 <br />CL- <br />TEMP <br />OTHER <br />H' <br />(r4 — ARA i.flo <br />STR <br />OPER <br />UJ <br />W <br />Filters <br />1 <br />2 <br />3 <br />4 <br />M <br />Pumps <br />5 <br />6 <br />Chlorinator <br />Lu <br />Flowmeter <br />7 <br />g <br />0 <br />Gauges <br />9 <br />10 <br />11 <br />12 <br />a <br />Skimmer s Gutters <br />Back Flow Prevention <br />13 <br />14 <br />75-16 <br />jQ.1 <br />Waste Water Prevention <br />17 <br />18 <br />Water Supply & Quality <br />UJ <br />Pipe 8 Fittings <br />19 <br />O <br />Pool Shell <br />PAGE OF <br />20 <br />21'. <br />22 <br />ZU <br />Bottom s Sides <br />OU¢ <br />Decking & Coping <br />23 <br />24 <br />Diving Boards <br />25 <br />26-. <br />Resure Pole <br />27' <br />28' <br />Z <br />Life Rings <br />29' <br />30 <br />Ti <br />32' <br />LU <br />Safety Signs <br />33 <br />a <br />Lifeguard <br />Ow <br />Lighting Elec. <br />34' <br />35 <br />Ladders <br />36 <br />37. <br />38. <br />39' <br />U. <br />Depth Markers <br />40: <br />41 <br />y <br />First Aid Kite <br />42 <br />43: <br />Gas Masks <br />F,to <br />Showens <br />44 <br />45 <br />WO <br />Toilet s Dressing <br />46 <br />47 <br />¢¢ <br />ventilation <br />48, <br />49 <br />Chlorine <br />50 <br />PH <br />51 <br />8< <br />Cyanurates <br />52 <br />ad <br />Clarity <br />53 - <br />Test Kits <br />rjC <br />Supervision 8 Control <br />55' <br />W <br />X <br />General Sanitation <br />56. <br />r <br />O <br />Miscellaneous <br />57' <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />Ea G❑ F❑ P❑ <br />Cr <br />The marked items represent Health Code violations and must be corrected as <br />follows: <br />(r4 — ARA i.flo <br />adequaleS <br />6 <br />tZ -Thio r <br />i <br />r [I <br />1 <br />0116-04 <br />DK <br />yr R ( <br />r c'- 'r <br />e 0IaJ <br />eacL <br />51tq musl kaoc <br />Xee 4e, -,s jr11At14 4P <br />jQ.1 <br />1 <br />?165"e <br />OFFICE ADDRESS <br />445 N. SAN JOAQUIN ST., STOCKTON, CA <br />(NO MAIL IS RECEIVED AT THIS ADDRESS) <br />PHONE (209) 468.3420 <br />RECEIVED BY: <br />S NITA AN. <br />— <br />PAGE OF <br />2188 <br />