Laserfiche WebLink
SWIM' 3 POOL OFFICIAL INSPECTIOP' PORT <br />SAN J%.AQUIN COUNTY PUBLIC HEALTh jERVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009, STOCKTON, CA 95201 <br />BUSINESS ADDRESS <br />. If - ( T <br />STR <br />OPER <br />DATE <br />Fillers <br />1 <br />2 <br />a <br />Pumps <br />2 1 <br />4 <br />OWNER'S <br />ITA EIDBA <br />5 <br />6 <br />Lu <br />COM UTER <br />UMB R <br />$ <br />O <br />Gauges <br />9 <br />10 <br />11 <br />12 <br />MAILING ADDRESS <br />13 <br />14 <br />TIME IN <br />Back Flow Prevention <br />PERMITILICENSE <br />Waste Water Prevention <br />PROGRAMIELEMENT <br />SERVICE <br />17 <br />TIME OUT <br />Water Supply & Quality <br />UJ <br />cc <br />Pipe & Fittings <br />T <br />ZO <br />Pool Shell <br />RATE OF FLOW <br />OM <br />CL <br />TEMP <br />21 <br />22 <br />OTHER <br />Decking & Coping <br />P- <br />- 5- <br />- - 2 <br />26 <br />D <br />° <br />� <br />Resure Pole <br />f <br />The marked items represent Health Code violations and must be corrected as <br />follows: <br />. If - ( T <br />STR <br />OPER <br />Zu, <br />Fillers <br />1 <br />2 <br />a <br />Pumps <br />3 <br />4 <br />D <br />Chlorinator <br />5 <br />6 <br />Lu <br />Flowmeter <br />7 <br />$ <br />O <br />Gauges <br />9 <br />10 <br />11 <br />12 <br />G <br />Skimmer d Gutters <br />13 <br />14 <br />Back Flow Prevention <br />O <br />Q <br />Waste Water Prevention <br />15 <br />16 <br />17 <br />18 <br />Water Supply & Quality <br />UJ <br />cc <br />Pipe & Fittings <br />19 <br />ZO <br />Pool Shell <br />20 <br />iU <br />Bottom &Sides <br />21 <br />22 <br />00¢ <br />Decking & Coping <br />23 <br />24 <br />25 <br />26 <br />Diving Boards <br />Resure Pole <br />27 <br />28 <br />Z <br />Life Rings <br />29 <br />30 <br />f <br />Safety Signs <br />31 <br />32 <br />33 <br />OL <br />Lifeguard <br />34 <br />35 <br />Lighting Elec. <br />36 <br />37 <br />r <br />ladders <br />LL <br />Depth Markers <br />38 <br />39- <br />40 <br />41 <br />y <br />First Aid Kits <br />42. <br />43 <br />Gas Mistake <br />I—Go <br />Showers <br />44 <br />45 <br />46 <br />47 <br />WO <br />Toilet R Dressing <br />�¢ <br />Ventilation <br />48, <br />49 <br />Chlorine <br />50 <br />PH <br />51 <br />Oa <br />Cyanurates <br />521 <br />aO <br />Clarity <br />53. <br />Test Kite <br />154, <br />2 <br />Supervision d Control <br />155 <br />W <br />X <br />General Sanitation <br />156 <br />O <br />miscellaneous <br />157, <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E❑ G❑ F[] P❑ C❑ <br />f <br />The marked items represent Health Code violations and must be corrected as <br />follows: <br />. If - ( T <br />P� <br />r <br />t n• <br />r pres h <br />r i <br />I <br />OSS• <br />u <br />IE <br />c I A Cr <br />r <br />I� <br />[ Q k"t.. <br />OFFICE ADDRESS <br />445 N. SAN JOAQUIN ST., STOCKTON, CA <br />(NO MAIL IS RECEIVED AT THIS ADDRESS) <br />PHONE (209) 466.3420 <br />RECEIVED BY: <br />S P lw <br />s A AN <br />dA <br />PAGE OF <br />2188 <br />