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JAIN JUAQUt ';OUNTY PUBLIC. HEALTH SEK`- -TS <br />EtNVI' ANIENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 4613-3420 <br />BUSINESS ADOHESS <br />'mnwl- .e.PrrL LL%2 - �f <br />SIR <br />U"H <br />Z <br />DATE <br />O.EN'SNAMEroB <br />� <br />1j'f^J <br />3 <br />4 <br />qui. Hgt-k bp 1w+wte - z- 6, o c, i Co l -e c t <br />Pumps <br />COMPUTER Nu.UER <br />MAILING ADDRESS <br />Po, <br />v <br />w <br />Flowmeter <br />IIME IN <br />i , /o <br />B <br />Z <br />O <br />Ci- <br />9' <br />10 <br />11 <br />VEHMITIUCENbER..1hLEMENT <br />a <br />Skimmer & Gutters <br />13 <br />VROGda <br />eEmIGE <br />TIME UP <br />/ <br />P <br />U� 0` <br />1 v it. <br />16 <br />ti <br />w I z_ <br />IIx Ff'1 <br />. S S� <br />HATE OF FLOW POd <br />OCYPA <br />pN <br />foo 1 7, Z <br />O <br />CLUO1 ("{I. <br />10.0 TEMP <br />OINEH ped I o✓t{IOo/' <br />s o E <br />22 <br />a <br />Bottom a Slaea <br />00Z) <br />& 5 c�-- * <br />ti SCOL- ovv� <br />6fo, 43- <br />CrMtk n.0 <br />OAJ <br />M <br />The marked iterns represent Health Code violations and must be correctul as <br />follows. <br />'mnwl- .e.PrrL LL%2 - �f <br />SIR <br />U"H <br />Z <br />Fiaers <br />1 <br />2 <br />3 <br />4 <br />qui. Hgt-k bp 1w+wte - z- 6, o c, i Co l -e c t <br />Pumps <br />5 <br />6 <br />n <br />Chlorinator <br />w <br />Flowmeter <br />7 <br />B <br />Z <br />O <br />GavVaa <br />9' <br />10 <br />11 <br />_ <br />12 <br />a <br />Skimmer & Gutters <br />13 <br />14 <br />Back Flow Prevention <br />O <br />2 <br />Waaie Water Prevention <br />151 <br />16 <br />17. <br />18. <br />W <br />Water Supply a Ouallly <br />Q <br />Pipe 6 Flutings <br />19. <br />O <br />Pool Snell <br />20 <br />21' <br />22 <br />Zr <br />Bottom a Slaea <br />00Z) <br />Decking d Coping <br />23 <br />24 <br />25 <br />26• <br />i- <br />Diving Boards <br />Rasura Pae <br />27! <br />28; <br />Z <br />Life Rings <br />29' <br />30. <br />T1' <br />U.1 <br />E <br />Safety Signs <br />33 <br />d <br />7 <br />Lifeguard <br />34' <br />35 <br />Lighting Elec.Lu <br />Ladders <br />3fi' <br />37 <br />36 <br />139 <br />W <br />LL <br />Depth Markers <br />40� <br />41 <br />Q 0First <br />Aid KITS <br />42, <br />143 <br />Gea Mask. <br />�� <br />Snowore <br />44, <br />45 <br />461 <br />47 <br />WO <br />Toilet 6 Dressing <br />¢¢ <br />Ventilation <br />48: <br />49. <br />Chlorine <br />50 <br />PFI <br />51. <br />QaCyanuralee <br />52'. <br />a00 <br />CIuuY <br />53 - <br />Test Kits <br />54' <br />¢ <br />SuMrvmlon a Conuoi <br />55' <br />ul <br />I <br />General Sanitation <br />56 <br />r <br />O <br />Miscellaneous <br />57. <br />POOL STATUS: (MARK ONE) <br />`3 59 60 61 <br />62 <br />EG G❑ FD PD <br />C� <br />32, /1 <br />�xf L? <br />• <br />6fo, 43- <br />CrMtk n.0 <br />OAJ <br />M <br />The marked iterns represent Health Code violations and must be correctul as <br />follows. <br />'mnwl- .e.PrrL LL%2 - �f <br />dt-✓J/Z�- Gb/tipt LC+GtJ ri%r i/! /'C(�K. <br />®/ O/ <br />?oo 5 h A it, dr.,;L4,u h- <br />Iv I Le O- <br />al dV YDS' <br />—�1� <br />/L ahtdrIett 6r,1d at -hero A�td ad CS <br />ya!6 <br />e Gari v Lev lcve�>< 1.5-10,00 <br />qui. Hgt-k bp 1w+wte - z- 6, o c, i Co l -e c t <br />L iyr rr { ci ce ✓f S A 6bed( C Co ' _ un 75` l C�rrec�i uY <br />V "Vt", / . <br />w �Fe�- i v room • u,.%T <br />mt a 4-e <br />Ld <br />Gam, 4 �1` r � b° 1,✓czX . - <br />?oo / 5310 7- - <br />J`Pr^ liii Hid r� PU d09 5 0I/c/ 7 <br />— <br />"�(6h5peC-bAcit ar�eeXS 'S <br />AEC(E B '. i <br />� <br />.. Ma.sal.l Tn 7aECUILI.I <br />PAGE 1 OF , —) <br />