Laserfiche WebLink
SWIMMINta,POOL OFFICIAL INSPECTION REr.-�RT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />POST OFFICE BOX 388, STOCKTON CA 95201 <br />BUSINESS ADDRESS <br />I LoSS� DLO <br />Pse+ KrJ <br />STR <br />DATE <br />g�Ib qy3 <br />OWNERS NA MEIDBA <br />fy-w <br />1 <br />COMPUTER NUMBER <br />DA�rJ <br />s r <br />a <br />Pumps <br />MAILIN ADDRESS <br />6 <br />a5°812�' <br />TIME IN <br />wFlowmeler <br />S -v <br />7 <br />6 <br />PERMITILICENSEPROGRAMIELEMENT <br />Gauges <br />97-10 <br />?h IZ <br />ICE <br />TIME OUT <br />RATE Of <br />Skimmer 8 Gutters <br />DH -7 <br />14 <br />CL 6 • ` � <br />TEMP 9c5D <br />OTHER <br />1- <br />I;;E9, %1/ / • � r•/rIV IC�� "Am. I- <br />lI(/I L✓AL1�.��.,yi ��•. —2:i"f �/.e�:_.�%l��.Ile'iiy' <br />STR <br />OPER <br />Z <br />U., <br />Filters <br />1 <br />2 <br />3 <br />4 <br />a <br />Pumps <br />5 <br />6 <br />0 <br />Chlorinator <br />wFlowmeler <br />7 <br />6 <br />Z <br />O <br />Gauges <br />97-10 <br />11 <br />12 <br />Skimmer 8 Gutters <br />13 <br />14 <br />-� <br />Back Flow Prevention <br />O <br />li <br />Waste Water Prevenllon <br />151 <br />16 <br />17. <br />18. <br />w <br />Water Supply & Duality <br />2 <br />Pipe 8 Fittings <br />19 <br />O <br />Pool Shell <br />20 <br />21 <br />22 <br />if- <br />Bottom A Woes <br />U¢ <br />Decking 8 Coping <br />23 <br />24 <br />25 <br />26 <br />1- <br />Diving Boards <br />Fissure Pole <br />271 <br />28 <br />Z <br />Lite Rings <br />29' <br />30, <br />31 <br />32' <br />Safety Signa <br />33 <br />a <br />Lifeguard <br />34 <br />35 <br />LU <br />Lighting Elec. <br />36 <br />37 <br />Z <br />Ladders <br />38 <br />39 <br />LL <br />Depth Markers <br />40 <br />41 <br />N <br />First Aid Kits <br />42 <br />43 <br />Gas Masks <br />I -W <br />Showers <br />44 <br />45 <br />46 <br />47 <br />VI <br />Toilet & Dressing <br />¢¢ <br />Ventilation <br />48, <br />49. <br />Chlorine <br />50 <br />pH <br />51 <br />OOQ <br />Cyenurales <br />52, <br />as <br />Clarity <br />531 <br />Test Kilo <br />54:' <br />Supervision a Control <br />55'' <br />U.1 <br />X <br />General Sanitation <br />56 <br />O <br />Miscellaneous <br />57' <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E�! G� F[] P❑ C� <br />-PHS-EH 182 (6196) --- <br />Tile marked items represent Health Code violations and must be correcte as <br />I;;E9, %1/ / • � r•/rIV IC�� "Am. I- <br />lI(/I L✓AL1�.��.,yi ��•. —2:i"f �/.e�:_.�%l��.Ile'iiy' <br />•4� �,�%�II � � � i'�•iii\���(V��IJLI1���6i�?-'�---_ <br />Is MEMPLIm"FiffmI dl .1 ► 1. 1 <br />.ALSMOVER <br />OFFICE ADDRESS <br />304 EAST WEBER AVENUE, STOCKTON CA <br />• MAIL IS RECEIVED AT THIS ADDRES�" <br />