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NEI <br />eeeea <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQUI COUNTY PUBLIC HEALTH SERI,""ES <br />ENvMPNN,IENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209)468-3420 <br />The marked items represent Health Code violations and must be correct3� as <br />IIOWS: <br />r <br />SIR <br />OPER <br />DATE <br />BUSINESS ADDRESS <br />,zAA Qt4arl,�w1'L <br />Z <br />w <br />Fillers <br />1 <br />2 <br />3 <br />4 <br />a <br />Pumps <br />COMPUTER NUMtlER <br />Chlorinator <br />OWNER'S NAME'DBA <br />trioti <br />Lice <br />w <br />Flowmeter <br />TPR 013 (190 <br />?(.1ME <br />= <br />O <br />Gauges <br />9' <br />10 <br />IN <br />Skimmer A Guitars <br />MAILING ADDRESS <br />12 <br />� <br />7 <br />Back Flow Prevention <br />13 <br />14 <br />PERMITIUCENSE <br />16 <br />PROGRAMIELEMENT <br />SERVICE <br />18. <br />TIME OUT <br />Water Supply d Quality <br />UJ <br />Pipe a Fittings <br />19, <br />alp l> <br />O <br />Pool Shell <br />20 <br />RATE OF FLOW <br />pn <br />Z�- <br />CL <br />�,an y <br />TEMP <br />OTHER Q�JLGVNf' <br />24 <br />cc <br />Diving Boards <br />25 <br />26- <br />Resurs Pole <br />✓v✓ ov <br />r�1 <br />291 <br />30. <br />Z <br />Lire Rings <br />31 <br />32' <br />Safety Signa <br />The marked items represent Health Code violations and must be correct3� as <br />IIOWS: <br />r <br />SIR <br />OPER <br />H <br />,zAA Qt4arl,�w1'L <br />Z <br />w <br />Fillers <br />1 <br />2 <br />3 <br />4 <br />a <br />Pumps <br />7 <br />Chlorinator <br />5, <br />6 <br />w <br />Flowmeter <br />7 <br />6 <br />= <br />O <br />Gauges <br />9' <br />10 <br />r <br />Skimmer A Guitars <br />11 <br />12 <br />� <br />7 <br />Back Flow Prevention <br />13 <br />14 <br />15: <br />16 <br />Waste Water Prevention <br />17. <br />18. <br />U <br />Water Supply d Quality <br />UJ <br />Pipe a Fittings <br />19, <br />O <br />Pool Shell <br />20 <br />21 <br />22 <br />Z�- <br />Bottom d Sides <br />O7 <br />Decking d Coping <br />23 <br />24 <br />cc <br />Diving Boards <br />25 <br />26- <br />Resurs Pole <br />271 <br />28' <br />291 <br />30. <br />Z <br />Lire Rings <br />31 <br />32' <br />Safety Signa <br />33 <br />g' <br />Lifeguard <br />O <br />Lignting Elec. <br />341 <br />35 <br />UJ <br />Ladders <br />36' <br />37 <br />38 <br />39 <br />LU <br />U. <br />Depth Marken <br />40� <br />41 <br />N <br />First Aid Kill <br />42. <br />43 <br />Gas Masks <br />I -gStowers <br />441 <br />45 <br />46' <br />47 <br />UNj0 <br />Toilet & Melling <br />¢¢ <br />Ventilation <br />48; <br />49, <br />Chlorine <br />50 <br />PH <br />51- <br />Cyanurates <br />52. <br />0 <br />ao <br />Clarity <br />53 - <br />Test Kits <br />54' <br />I <br />Suo"Mon d Control <br />55' <br />w <br />2 <br />Genvrai sanitation <br />56 <br />r <br />O <br />Mlacenaneoua <br />157 <br />POOL STATUS: (MARK ONE) <br />E s 59 60 61 <br />62 <br />EL G❑ F❑ P❑ <br />C❑ <br />&J -f / 1 <br />�x� • n4f war,�•� <br />� <br />The marked items represent Health Code violations and must be correct3� as <br />IIOWS: <br />r <br />�s <br />,zAA Qt4arl,�w1'L <br />� <br />n <br />h/M <br />ft�d d m <br />,Ly) Q <br />2 5 Ct <br />c <br />r >> rre� <br />/ W <br />FIfiCEIVED BY <br />f <br />TA our usr <br />aM <br />PAGE / F <br />A <br />