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SWIMMING POOL OFFICI.AL INSPECTION REPORT <br />SAN JOAQU" COUNTY PUBLIC HEALTH SER" --ES <br />ENv _ _JNMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS <br />STR <br />OPER <br />DATE <br />OWNER'S NAMEIDSA <br />1 <br />N ,t <br />1 <br />2 <br />3 <br />COMPUTER NUMBER <br />MAILING ADDRESS <br />Pumps <br />5 <br />6 <br />TIME IN <br />PERMITILICENSE <br />wFlowmeter <br />7 <br />PROGRAMIELEMENi <br />SERVICE <br />TIME OUT <br />RATE OF FLOW II <br />pH <br />11 <br />12 <br />CL <br />TEMP <br />OTHER <br />F <br />STR <br />OPER <br />Z <br />Filters <br />1 <br />2 <br />3 <br />4 <br />a <br />Pumps <br />5 <br />6 <br />7 <br />Chlorinator <br />wFlowmeter <br />7 <br />8 <br />Z <br />O <br />Gauges <br />9' <br />10 <br />11 <br />12 <br />I— <br />Q <br />Skimmer 8 Gutters <br />13 <br />14 <br />J <br />7 <br />Back Flow Prevention <br />15: <br />16 <br />O <br />IL <br />Waste Water Prevention <br />17. <br />18, <br />W <br />Water supply d Duality <br />Cr <br />Pipe A Fillings <br />19. <br />O <br />Pool Snell <br />20 <br />21 � <br />22 <br />Z- <br />Bottom d Sides <br />OQ <br />Decking a Coping <br />23 <br />24 <br />ti <br />Diving Boards <br />25 <br />26• <br />Return Pole <br />27! <br />28- <br />29: <br />30, <br />Z <br />Life Rings <br />31 <br />32` <br />Ul <br />Safely Signs <br />33 <br />a <br />Lifeguard <br />O <br />Lighting Elec. <br />34' <br />35 <br />Ladders <br />36' <br />37 <br />38 <br />39 - <br />W <br />LL <br />Depth Markers <br />40: <br />41 <br />Q <br />rn <br />First Altl Klls <br />42 <br />43 <br />Gas Masks <br />-0 <br />Showers <br />44 <br />45 <br />461 <br />47 <br />u 0 <br />Toilet 8 Dressing <br />¢¢ <br />Ventilation <br />48; <br />49. <br />Chlorine <br />50 <br />JH <br />pH <br />51• <br />Oa <br />CVanuralas <br />52. <br />aQ <br />Clarlty <br />531 <br />Test Kits <br />54' <br />Supervision a control <br />155, <br />w <br />X <br />General Sanitation <br />56 <br />O <br />MlsceNaneoua <br />57, <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E❑ G❑ F� P❑ C❑ <br />eHS. cu P2'Al"I <br />lifts — <br />The marked items represent Health Code violations and must be corrected, as <br />follows: <br />ECEIVED BY. <br />.. l ENVI*:*KNTIC AF TN RRCMLI4 <br />PAGE :F <br />