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r <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />POST OFFICE BOX 388, STOCKTON CA 95201 <br />r <br />BUSINESS ADDRESS �/J <br />STIR <br />DATE <br />OWNER'S NAME/DBA <br />Fillers <br />1 <br />2 <br />COM U R U R <br />MAILING ADDRESS <br />3 <br />4 <br />a <br />TIME IN <br />PERMITILICENSE <br />5 <br />6 <br />PROGRAMIELEMENT <br />SERVICE <br />TIME OUi <br />RATE OF FLOW <br />PN <br />,\ <br />CL <br />TEMP Ly gr <br />OTHER <br />H <br />STIR <br />OPER <br />Z <br />Fillers <br />1 <br />2 <br />w <br />3 <br />4 <br />a <br />Pumps <br />5 <br />6 <br />D <br />Chlorinator <br />Ow <br />Flowmeter <br />7 <br />8 <br />Z <br />O <br />Gauges <br />9 <br />10 <br />11 <br />12. <br />I— <br />Skimmer & Gutters <br />a <br />13 <br />14 <br />Back Flow Prevenllon <br />2 <br />Waste Water Prevention <br />15 i <br />16 <br />17. <br />18. <br />U <br />Water Supply 8 Quality <br />w <br />19 <br />¢ <br />Pipe d Fittings <br />O <br />Pool Shell <br />20 <br />21' <br />22 <br />iU <br />Bottom 8 Sides <br />23 <br />24 <br />U:n <br />Decking 6 Coping <br />L <br />Diving Boards <br />25 <br />26. <br />Fissura Pole <br />271 <br />28 <br />Z <br />Life Rings <br />29! <br />30, <br />31; <br />32'. <br />Safety Signa <br />33- <br />a <br />Lifeguard <br />34' <br />35 <br />aLighting <br />Elec. <br />Ladders <br />38 <br />37 <br />38 <br />39' <br />LL <br />Depth Marken <br />40'. <br />41 <br />N <br />First Aid Kits <br />42 <br />43 <br />Gas Masks <br />�to <br />Showers <br />44 <br />45 <br />46': <br />47 <br />WO <br />Toilet 8 Dreading <br />¢¢ <br />Ventiallon <br />48; <br />49. <br />Chlorine <br />50 <br />}} <br />�F- <br />PH - <br />51 <br />O< <br />Cyanuraies <br />52: <br />aQ <br />Gladly <br />53, <br />Test Kits <br />54' <br />¢ <br />Suoe",s,on 8 Control <br />55' <br />W <br />x <br />I <br />General Sanitation <br />5G <br />r <br />O <br />Miscellaneous <br />57, <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E❑ G❑ F❑ PD C <br />•marked represent ••- violations and must be correcte as <br />follows: <br />i <br />WIME 70- 05, <br />N <br />70 1 INN, 11101, <br />a 1011201 111 11-11- <br />-11— <br />`� a ' i ���L� W � i i ////✓t/rte <br />_il/ <br />i <br />L <br />7, <br />