Laserfiche WebLink
SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQJ TIN COUNTY PUBLIC HEALTH SEP"?CES <br />EN .ONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209)468-3420 <br />DU�S ADDRESS <br />DATE <br />` <br />`I t <br />Fillers <br />OWNER '$ NA MEIDBA <br />2 <br />COMPUTER NUMBER <br />/ <br />4 I <br />a <br />Pumps <br />MAILING ADDRESS <br />5 <br />TIME IN <br />PERMITILICENSE <br />Chlorinator <br />PROGRAMIELEMENT <br />SERVICE <br />TIME OUT <br />RATE OF FLOW <br />PN <br />CL <br />TEMP <br />OTNER <br />H <br />SIR <br />OPER <br />UJ <br />Fillers <br />1 <br />2 <br />W <br />3 <br />4 I <br />a <br />Pumps <br />5 <br />6 <br />D <br />Chlorinator <br />WFlowmeter <br />7 <br />8 <br />Z <br />Gauges <br />9' <br />10 <br />11 <br />12 <br />Skimmer & Guitars <br />13 <br />14 <br />Back Flow Prevention <br />151 <br />16 <br />O <br />LE <br />Waste Water Prevention <br />17. <br />18. <br />U <br />Water Supply & Quality <br />W <br />¢ <br />Pipe d FIBInga <br />19. <br />O <br />Pool Shell <br />20 <br />-1, <br />22 <br />ZI= <br />Bottom d Sides <br />U2 <br />Decking d Coping <br />23 <br />24 <br />t' <br />Diving Boards <br />25 <br />26, <br />Raeure Pole <br />27i <br />28� <br />29: <br />30, <br />Z <br />Life Rings <br />31 <br />32' <br />i <br />safety signs <br />33 <br />a <br />Lifeguard <br />Lighting Elec. <br />34' <br />35 <br />UJ <br />�: <br />Ladders <br />36' <br />37 <br />38 <br />39- <br />W <br />Depth Marken <br />U. <br />N <br />First Aid Kits <br />40� <br />41 <br />42 <br />43 <br />Gea Masks <br />showers 144 <br />45 <br />�0 <br />wO <br />Toilet 8 Dressing <br />461 <br />47 <br />¢¢ <br />Ventilation <br />48; <br />49. <br />Chlorine <br />50 <br />�F <br />PH <br />51' <br />00< <br />Cyanurates <br />52: <br />ao <br />cmdty <br />53 - <br />Test Kits <br />54' <br />m <br />Suoervulon d Control <br />55* <br />W <br />x <br />Genoral Sanitation <br />56 <br />O <br />Miscellaneous <br />57, <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E❑ G❑ FIj P[_j C❑ <br />L= -.2 M`RB) <br />The marked items represent Health Code violations and must be correct%% as <br />follows: <br />RECEIVED By <br />ENVItdNENTAL $MN1 A CIJ Lln <br />PAGE OF <br />