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Jvy11y11VI11"LT rVVL q-)kkI(-IAL INSPECTION REPORT <br />SAN JOAQ- COUNTY PUBLIC HEALTH SET MS <br />EN . _,( NMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS <br />i S eL C Qcl.r.L.�rC Q CFoL I-CvG-I (S � li.r CZ/Oc7 <br />DATE <br />196`Co rUAu4/-f <br />Z <br />&/2-0 lof <br />OWNER�'SNAME/DBA <br />2 <br />COMPUTER NUMBER <br />�1 <br />T' -"be— ll(.o$1C.F- 140"E 10'W <br />3 <br />-R(L 3&01Rf <br />MAILING ADDRESS <br />Pumps <br />TIME IN <br />PERMITILICENSE <br />PROGRAMIELEMENi <br />6 <br />SERVICE <br />TIME OUT <br />wFlowmeter <br />36.12- <br />7 <br />/�£, 2s10E4f'770^) <br />Z <br />O <br />RATE OF FLOW so S 10 A <br />pH r-7 . Z <br />CLQ. ZQp µ <br />I'.,•- <br />TEMP <br />OTHER <br />S�Q r- V'04 ?Io <br />vDL <br />112"a 7.0 <br />D•2 1�-'-�- <br />13 <br />0•`-60'0.,.. . 111 <br />The marked items represent Health Code violations and must be correct%L as <br />follows: <br />i S eL C Qcl.r.L.�rC Q CFoL I-CvG-I (S � li.r CZ/Oc7 <br />STR <br />OPEN <br />Z <br />Fillers <br />1 <br />2 <br />UU <br />ItSa. o � r.0 !.,(D ,.r.�.a.fd � /r•r-rt r'F r ^� <br />3 <br />4 <br />a <br />Pumps <br />rn c'{zc� rM m � Q�i/-ems [v L2 -!O / • � r Lu r -C. <br />COn.ecT'- rz:.d wL.ar�-tar.- l clp�crs.. <br />5, <br />6 <br />J <br />Chlorinator <br />wFlowmeter <br />RECEIVE By: <br />i <br />7 <br />8 <br />Z <br />O <br />GaUQea <br />9' <br />10 <br />11 <br />12 <br />Q <br />Skimmer 8 Gutters <br />13 <br />14 <br />Back Flow Prevention <br />151 <br />16 <br />O <br />E <br />Waste Water Prevention <br />17. <br />18. <br />W <br />Water Supply d Duality <br />19; <br />cc <br />Pipe d Fittings <br />O <br />Pool Snell <br />20 <br />21; <br />22 <br />zU <br />Bottom a Sloes <br />O D <br />Decking 4 coping <br />23 <br />24 <br />Diving Boards <br />25 <br />26, <br />Failure Pole <br />271 <br />28- <br />29° <br />30. <br />Z <br />Life Rings <br />31; <br />32' <br />w <br />i <br />Safely Signa <br />33 <br />Lifeguard <br />0Lighting <br />Elec. <br />341 <br />35 <br />LAILadders <br />36! <br />37 <br />T8— <br />ul <br />Depth Marken <br />LL <br />,a <br />First Altl Nlla <br />40( <br />41 <br />42 <br />43 <br />Gas Masks <br />Showers <br />44 <br />45 <br />F•01 <br />w0 <br />Toilet d Dressing <br />46' <br />47 <br />¢M <br />48; <br />49. <br />Ventilation <br />Chlorine <br />50 <br />PH <br />51 <br />OOzi <br />Cyanuralea <br />52: <br />Q <br />aO <br />Clarity <br />531 <br />Test KITS <br />54' <br />O: <br />Suoe"islon d Control <br />55' <br />w <br />= <br />General Sanitation <br />56 <br />O <br />1 Miscellaneous <br />57, <br />POOL STATUS: (MARK ONE) <br />Ea Ga Fa Pa Cj <br />PHS'I, -Py 191w <br />0•`-60'0.,.. . 111 <br />The marked items represent Health Code violations and must be correct%L as <br />follows: <br />i S eL C Qcl.r.L.�rC Q CFoL I-CvG-I (S � li.r CZ/Oc7 <br />2 Ol 'lam `t lO rr..G �C ✓2! CL VL/ Qr� <br />1p � �> �r.SS.I <br />Q / !� .� Nl K r'L O ✓LtJ'•'� TrL.[t h l / Q K [X <br />f/ rr 7, 2- 7 • I? ICQ Le -e 0TH <br />.fr Lr oY-' cf,[O a <br />ItSa. o � r.0 !.,(D ,.r.�.a.fd � /r•r-rt r'F r ^� <br />..[[.�_. /rWtR J grrSr y�GfZsti SGc[vLQ • �Kld✓rwRr <br />P ``� <br />.t 6f[tsS. <br />rn c'{zc� rM m � Q�i/-ems [v L2 -!O / • � r Lu r -C. <br />COn.ecT'- rz:.d wL.ar�-tar.- l clp�crs.. <br />a-iL R 'L (a--fv Ccu (d r2.Ccc (t e e <br />Q�ri4t 1 nr-C' .ci 7rV2 kca vt - e occe.-C <br />ate. <br />RECEIVE By: <br />i <br />FYYI IEMT 1 PFCL41Tr .. <br />PAGE OF <br />%(y <br />