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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAN COUNTY PUBLIC HEALTH S 'ICES <br />ENV IRONMENTAL HEALTH DIVISIOf-4 <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 r)j <�(nn/V p <br />Wu v '2�(- I vi �--. <br />BUSINE /S-AOORESS <br />aU t• �i �� ►I�aIL� <br />STA OPER <br />DATE to <br />GI/ <br />Fillers <br />1 2 <br />3 4 <br />R- <br />Pumps <br />OWNER NA� <br />0(A <br />�IIU/"A/` r <br />(/LN ` <br />) 8 <br />COMP'�(/U <br />COMPUTER NUMBER <br />MAILING AOOR <br />0Z <br />-12PRM <br />9' 10 <br />TIME IN <br />a <br />Skimmer a Guitars <br />13 14 V <br />Back Flow Prevention <br />PERMIT/LICENSE <br />¢ <br />PROGRAMIELEMENi <br />E IGE y . <br />TIME OUT <br />P <br />¢ <br />Pipe d Fittings <br />19: <br />O <br />TEMP <br />OTNER <br />�- + - - 4V <br />aaaaa- <br />F. <br />aU t• �i �� ►I�aIL� <br />STA OPER <br />W <br />Fillers <br />1 2 <br />3 4 <br />R- <br />Pumps <br />5. 6 <br />� <br />Chlorinator <br />) 8 <br />wFlowmeter <br />0Z <br />Gauges <br />9' 10 <br />11 12 <br />a <br />Skimmer a Guitars <br />13 14 V <br />Back Flow Prevention <br />151 16 <br />¢ <br />Waste Water Prevention <br />17. 18. <br />W <br />Water Supply d Ouallty <br />¢ <br />Pipe d Fittings <br />19: <br />O <br />pool Shell <br />20 <br />21; 22 <br />=I- <br />Boltom a Sloss <br />UQ <br />Decking a Coping <br />23 24 <br />25 26� <br />Diving Boards <br />Resurs Pole <br />27! 28- <br />29! 30: <br />= <br />uta Ringa <br />is 0 17L I <br />N RON U.AMA Ja <br />Salary Signs <br />33 <br />Q. <br />Lifeguard <br />34t 35 <br />wUghting <br />Elec. <br />36' T7-- <br />7LL <br />Ladders <br />Ta T9— <br />UJ <br />Depth Marken <br />40: 41' <br />� <br />First Aid Kits <br />42 a3 <br />Gas Masks <br />�w <br />Slavers <br />44 45 <br />wO <br />Toilet a Dressing <br />46 47 <br />¢¢ <br />Ventilation <br />48; 49: <br />Chlorine 50 <br />>> <br />J:pH <br />51. <br />O�Cyanurates <br />52: <br />aQ <br />Clarity 53, <br />Teat Kits 54' <br />¢ <br />Supervision a Control 55 <br />w <br />= <br />General Sanitation 56 <br />O <br />Miscellaneous 57 <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 62 <br />E❑ G❑ F[] P❑ C❑I <br />U�iVt� Yl� W� <br />pHs -EH '92 r9m) <br />■ <br />rfi . 1 l <br />I <br />aU t• �i �� ►I�aIL� <br />7'.0, <br />M <br />/ ► <br />I II� <br />� <br />WF (► ,. .J 1 <br />I <br />ii <br />• <br />Ir�I <br />lel <br />, <br />is 0 17L I <br />N RON U.AMA Ja <br />WMAM <br />Ili <br />1 <br />/i • <br />� <br />MW � <br />I <br />