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SWIMMI..� POOL OFFICIAL INSPECTION REt-JRT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />POST OFFICE BOX 388, STOCKTON CA 95201 <br />BUSINESS ADDRESS <br />STH <br />DATE <br />uU <br />OWNE 'S NAMEIOBA <br />1 <br />2 <br />COMPUTER NUMBER <br />DA^l I N tJ <br />a <br />Pumps <br />5 <br />MAILING ADDRESS <br />D <br />Chlorinator <br />TIME IN <br />PERMITILICENSE <br />7 <br />6 <br />PROGRAMIELEMENi <br />I.SERVICE <br />TIME OUT <br />10 <br />11 <br />12 <br />I- <br />NSPEGIo <br />a <br />� <br />7 <br />RATE OF FLOWpH <br />13 <br />14 <br />LL. n <br />TEMP <br />OTHER <br />r <br />STH <br />OPER <br />uU <br />Fillers <br />1 <br />2 <br />3 <br />4 <br />a <br />Pumps <br />5 <br />6 <br />D <br />Chlorinator <br />wFlowmeter <br />7 <br />6 <br />Z <br />O <br />Gauges <br />9' <br />10 <br />11 <br />12 <br />I- <br />Skimmer & Gutters <br />a <br />� <br />7 <br />Back Flow Prevention <br />13 <br />14 <br />151 <br />16 <br />O <br />Waste Water Prevention <br />17 <br />18 <br />w <br />SUDDIy 6 Ouallly <br />Water <br />¢ <br />Pipe d Fittings <br />19; <br />O <br />Pool Shell <br />20 <br />21 <br />:22 <br />ZU <br />Bottom & Sides <br />U¢ <br />Decking & Coping <br />23 <br />124 <br />I' <br />Diving Boards <br />25 <br />126 <br />Reeure Pole <br />271 <br />ZLite <br />Rings <br />29 <br />1!:8 , <br />31; <br />32" <br />Salary Signs <br />33 <br />a <br />Lifeguard <br />O <br />Lighting Elea <br />34 <br />35 <br />LL1Ladders <br />36' <br />X37 <br />38 <br />�39 <br />w <br />LL <br />Depth Markers <br />40� <br />141 <br />H <br />First Aid Kits <br />42 <br />"43 <br />Gas Masks <br />1-0 <br />Showers <br />44 <br />'45 <br />46 <br />'47 <br />w0 <br />Toilet 6 Dressing <br />¢¢ <br />Ventilation <br />48; <br />49. <br />Chlorine <br />„50 <br />PH <br />51 <br />OOQ <br />Cyanurales <br />52: <br />a0 <br />Clarity <br />53, <br />Test Kite <br />54'. <br />¢ <br />lon 6 Control <br />Supervotr <br />55 L <br />w <br />S <br />General Sanitation <br />56 <br />H <br />O <br />Miscellaneous <br />57= <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E[] G❑ F 1 P❑ CF <br />-PHS "EH IB2 (6/96) <br />The marked items represent Health Code violations and must be correcte as <br />follows: <br />I cs�l�c l5 <br />4-M � r� `P +� CA'✓ �. W r1TP�r1 3r� <br />u2-wF;b fc' c N ly- <br />TD D A-V D S6 to le+ 'QR tn�ts UP -M <br />vv�,.n�ec Is C6�zEcTt�� tMh+-��'�7 <br />ECE E <br />OFFICE ADDRESS <br />304 EAST WEBER AVENUE, STOCKTON CA <br />(NO MAIL IS RECEIVED AT THIS ADDRESS) SANITAR i. <br />TELEPHONE (209)488-3420 <br />PAG OF <br />