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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQT'—,T COUNTY PUBLIC HEALTH SEP" -ES <br />ENS _ONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209)468-3420 <br />BUSINESS ADORESS <br />20/C' tfiA'rAr,t.t RJ <br />J YP C—P! 1(S 6'uwrP HfT" <br />STR <br />DATE <br />r <br />✓+TC -R TI4e ItiTeR 2uU1r�E P2FS5cr2(: 614LUC *T <br />t2o 60C -r2 ru 5AInrw1F2' REPAfi-ec- <br />OWNER'S NAME/DBA <br />pmeE RPrs <br />Fillers <br />COMPUTER NUMBER <br />MAILING ADDRESS <br />w <br />iHF AOT -CH must 6c- 3% fFFr /1r&1Y, A P2orFcrp__7`I04 <br />TIME IN <br />4 <br />f <br />Pumps <br />a. <br />PERMITIUCENSEPROG <br />O <br />Qo 36 38� <br />IE'E%ENT BERV <br />6 <br />6 <br />�t�k,6 <br />TIME OUT <br />RATE OF FLOW <br />S <br />pH <br />CL. <br />3,a �Rc� <br />TEMP <br />OTHER <br />r'y�wuale <br />3 P� <br />9' <br />10 <br />11 <br />12 <br />The marked items represent Health Code violations and must he corrected, as <br />follows: <br />J YP C—P! 1(S 6'uwrP HfT" <br />STR <br />OPER <br />r <br />✓+TC -R TI4e ItiTeR 2uU1r�E P2FS5cr2(: 614LUC *T <br />t2o 60C -r2 ru 5AInrw1F2' REPAfi-ec- <br />Z <br />Fillers <br />1 <br />2 <br />w <br />iHF AOT -CH must 6c- 3% fFFr /1r&1Y, A P2orFcrp__7`I04 <br />3 <br />4 <br />f <br />Pumps <br />a. <br />�I%O Ml(;#L YESTIV6 40 ust/D C%�Fcur(p�✓CS ShE1eEAD <br />5 <br />6 <br />7 <br />Chlorinator <br />wFlowmeter <br />7 <br />6 <br />= <br />O <br />Gauges <br />9' <br />10 <br />11 <br />12 <br />Skimmer & Gutters <br />13 <br />14 <br />Back Flow Prevention <br />151 <br />16 <br />U <br />Waste Water Prevention <br />17. <br />18, <br />w <br />Water Supply a Duality <br />Pipe & Fittings <br />19; <br />O <br />Pool Shell <br />20 <br />21 <br />22 <br />Zr <br />Bottom & Sloes <br />U <br />0¢ <br />Decking d Coping <br />23 <br />24 <br />M <br />Diving Boards <br />25 <br />26, <br />Require Pole <br />271 <br />28'' <br />29' <br />30, <br />Z <br />Life Rings <br />31 <br />32` <br />Lu <br />Safely Signa <br />33 <br />n' <br />Lifeguard <br />4 <br />Lighting Else. <br />34' <br />35 <br />Ladders <br />38 <br />37 <br />36 <br />39- <br />w <br />Depth Markers <br />40: <br />41 <br />< <br />Flml Altl Kill <br />42 <br />43 <br />Gas Masks <br />Showers <br />44 <br />45 <br />�2 <br />WOO <br />Taller d Dressing <br />46' <br />47 <br />2 <br />Ventilation <br />48; <br />49. <br />Chlorine <br />50 <br />�F <br />PH <br />51. <br />OOa <br />Cyanurates <br />52: <br />LLQ <br />Clarity <br />531 <br />Teat Kits <br />54' <br />Supervulon a Control <br />55' <br />uI <br />M <br />General Sanitation <br />56 <br />I- <br />0 <br />Miscellaneous <br />157. <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E❑ G❑ F❑ P[] C❑ <br />�N <br />oUt M17'S 1414"' <br />The marked items represent Health Code violations and must he corrected, as <br />follows: <br />J YP C—P! 1(S 6'uwrP HfT" <br />PPL-Plr0A e&'Ul' R Me -4t14 3rue-K - �n S -TZ <br />�K�luo4ToR - 6+)4le-,uj-T-ok- I- tQwih <br />t� <br />U (�55 o Rf [>/ wit 64/ Ttik ocq TT>`ET Pipe <br />✓+TC -R TI4e ItiTeR 2uU1r�E P2FS5cr2(: 614LUC *T <br />t2o 60C -r2 ru 5AInrw1F2' REPAfi-ec- <br />v� 7-6� 6872- 15 5,/ Q4os /,u /3 r: r )'i-br Sc 4 A,vTFN/N& . <br />RROU(a* A Ke -16D Ti?H AR F4/MRCNG H/)7- HHS <br />/f N0/V-K6Y&b FTItcD 4 a &ren/ <br />R-x/rres <br />iHF AOT -CH must 6c- 3% fFFr /1r&1Y, A P2orFcrp__7`I04 <br />6,Uj4W A441 3E /VECF55 aR KEEP INIlZuOF�5 :Icor) <br />(NHru� aUE2 174E (fie -Ti , <br />y S/6v 5'(fow+,xdG %%LrR51 Uwtr3eR Q L[SF25 Aiu <br />CR 7vum&-k 011) AKc oe;L bE/] el,6fiRLLJR17Z- <br />ju T7�¢54 7u Rw7 /anJ 121 EP/�TtK _ <br />�I%O Ml(;#L YESTIV6 40 ust/D C%�Fcur(p�✓CS ShE1eEAD <br />rCleFc' <br />F3F TESTED Cpur� k(ooRP A P /X ` AIP R "5 S/7F. (mar <br />R EIVEO BT' <br />1 Tx xcuusr <br />P OF <br />Le/b <br />'*M�j <br />