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SWIM' IG POOL OFFICIAL INSPECTIOI'* SPORT <br />SAN JN AQUIN COUNTY PUBLIC HEALT}T SERVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009, STOCKTON, CA 95201 <br />BUSINESS ADDRESS <br />v <br />STIR <br />DATE <br />Z <br />UJ <br />Filters <br />'r�J J+ <br />QYL 0j . <br />2 <br />3 <br />/' <br />OWNER'S NAME IDA <br />Pumps <br />5 <br />COMPUTER <br />NUMBER <br />Chlorinator <br />Lu <br />Flowmeter <br />7 <br />8 <br />ZO <br />E r <br />9 <br />10 <br />11 <br />MAILING ADDRESS <br />a <br />Skimmer & Gutters <br />TIME IN <br />14 <br />PERMIT/LICENSE <br />Beck Flow Prevention <br />PROGRAM/ELEMENT <br />SERVICE <br />TIME OUT <br />17 <br />18 <br />P,GtIs? <br />Water Supply a Quality <br />UJ <br />Fr <br />19 <br />RATE OF FLOW <br />Pool Shell <br />DR <br />CL- <br />TEMP <br />OTHER <br />zU <br />H <br />v <br />STIR <br />OPER <br />Z <br />UJ <br />Filters <br />1 <br />2 <br />3 <br />4 <br />a <br />Pumps <br />5 <br />6 <br />D <br />Chlorinator <br />Lu <br />Flowmeter <br />7 <br />8 <br />ZO <br />Gauges <br />9 <br />10 <br />11 <br />12 <br />a <br />Skimmer & Gutters <br />13 <br />14 <br />7 <br />Beck Flow Prevention <br />Waste Water Prevention <br />15 <br />16 <br />17 <br />18 <br />P,GtIs? <br />Water Supply a Quality <br />UJ <br />Pipe 6 Fittings <br />19 <br />O <br />Pool Shell <br />20 <br />21 ' <br />22 <br />zU <br />Bottom & sides <br />23 <br />24 <br />UOQ <br />Decking 8 Coping <br />25 <br />26 <br />F- <br />Diving Boards <br />Resure Pole <br />27 <br />28- <br />Z <br />Life Rings <br />29: <br />TO— <br />fSafety, <br />Signe <br />31 <br />32' <br />a <br />Lifeguard <br />33 <br />Ci <br />Lighting Elec. <br />34' <br />LU <br />36' <br />q <br />Ladders <br />38 <br />u <br />Depth Markers <br />401 <br />41 <br />y <br />First Aid Kite <br />42 <br />43 <br />Gas Masks <br />ri <br />Showers <br />44 <br />45 <br />46" <br />47 <br />w8 <br />Toilet & Dressing <br />¢M <br />Ventilation <br />48, <br />49. <br />Chlorine <br />50 <br />PH <br />51 <br />as <br />Cyanurates <br />52'. <br />O <br />Clarity <br />53 <br />Test Kits <br />I54 <br />Supervision 8 Control <br />55' <br />LU <br />S <br />General Sanitation <br />56. <br />r <br />o <br />Mlaeellaneous <br />57' <br />POOL STATUS: (MARK ONE) <br />58 59 W 61 <br />62 <br />E❑ GD F[] P❑ Cr <br />The marked items represent Health Code violations and must be corrected as <br />f OW : <br />v <br />e <br />-Far <br />ML -f4 <br />Q T <br />t y rf. <br />ccri I — `' Mf -f <br />r <br />� P <br />o/ 125-21IL111111, <br />— <br />4ee-ijr <br />ems, kl <br />u <br />r` <br />1r� <br />P,GtIs? <br />L1 <br />OFFICE ADDRESS <br />445 N. SAN JOAQUIN ST., STOCKTON, CA <br />(NO MAIL IS RECEIVED AT THIS ADDRESS) <br />PHONE (209) 468-3420Ita <br />RECEIVED By: <br />s IT AN: <br />PAGE <br />F <br />2188 <br />