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SWIMMINu POOL OFFICIAL INSPECTION Rt. JRT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />POST OFFICE BOX 388, STOCKTON CA 95201 <br />BUSINESS ADDR SS <br />Y1pm <br />1)w 1 rl <br />STR <br />DATE <br />01 I'Ljq� <br />OWNE 'S NAME <br />Fillers <br />1 <br />COMPUTER NUMBER <br />w <br />J V� <br />4IR <br />3 <br />' 4 <br />MAILING ADDRESS <br />Pumps <br />TIME IN <br />5, <br />TAIRt uA w <br />852� 123 f- <br />Chlorinator <br />PERMITILICENSE <br />Flowmeter <br />7 <br />PROGRAMIELEMENT <br />SERVICE <br />TIME OUT <br />11 <br />;(1 IZ <br />t�5 . <br />Skimmer & Gutters <br />RATE OF FLOW <br />pH <br />CL. <br />TEMP <br />OTHER <br />O <br />Waste Water Prevention <br />l'4.0 <br />23.E <br />17 <br />1.5 <br />H <br />t Gl�tOelrJ TDd il6-it • cAjizRINI-, BTS V 3 "5 <br />STR <br />OPER <br />Z <br />Fillers <br />1 <br />2 <br />w <br />3 <br />' 4 <br />a <br />Pumps <br />5, <br />' 6 <br />0 <br />Chlorinator <br />0w <br />Flowmeter <br />7 <br />8 <br />Z <br />O <br />Gauges <br />11 <br />!112 <br />a <br />Skimmer & Gutters <br />13 <br />X114 <br />Back Flow Prevention <br />O <br />Waste Water Prevention <br />15, <br />11,16 <br />17 <br />18. <br />Water Supply 6 Quality <br />W <br />19: <br />¢ <br />Pipe d Fittings <br />O <br />Pool Shell <br />20 <br />21 <br />22 <br />ZU <br />Bottom a Sides <br />00¢ <br />Decking d Coping <br />23 <br />'24 <br />Diving Boards <br />25 <br />26 <br />Pasture Pole <br />27. <br />28 <br />z <br />Life Rings <br />29' <br />30, <br />31; <br />32' <br />Lu <br />Safely Signs <br />a <br />Lifeguard <br />33 <br />5 <br />0 <br />Lighting Elec. <br />34 <br />35 <br />LU <br />Ladders <br />36' <br />37 <br />38 <br />39 <br />LL w <br />Depth Markers <br />ti <br />First Aid Kits <br />42 <br />43 <br />Gas Masks <br />F� <br />Showers <br />44 <br />45 <br />46' <br />47 <br />w0 <br />Toilet & Dressing <br />¢¢ <br />481 <br />49. <br />Ventilation <br />Chlorine <br />50 <br />r) <br />JV- <br />BFI <br />51' <br />00< <br />Cyanuratea <br />52: <br />a0 <br />Clarity <br />531 <br />Test Kits <br />54'. <br />¢ <br />Supernsloo d Conlrol <br />55! <br />ILL! <br />ac <br />General Sanitation <br />I <br />56 <br />F <br />O <br />Miscellaneous <br />57 <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E❑ G❑ F❑ P <br />c <br />'PHS -EH 102 (6N6) <br />Crnw./-4,11 LA -t <br />The marked items represent Health Code violations and must he correcte as <br />follows: <br />t Gl�tOelrJ TDd il6-it • cAjizRINI-, BTS V 3 "5 <br />Ca�T IN�W^layl�r��T-�Y <br />^,� I �jr�r�� �'I)I��7 (�A- <br />ev K/IiI.v/L/l/�,( CIIIL�I�L,1-I��iL�u i -T- `-•`A� FPM <br />DiT /��1�T,U�'il�-G?,N <br />\ • Y00 u l' C6YVIOINV/IJ <br />'N o W -i- - K-Kf <br />OFFICE ADDRESS <br />304 EAST WEBER AVENUE, STOCKTON CA <br />(NO MAIL IS RECEIVED AT THIS ADDRESS <br />TELEPHONE (209)488-3420 <br />[ EIBY: <br />NI RIAN. n <br />Y <br />PAG6 OF <br />