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SWIMh a POOL OFFICIAL INSPECTION -7PORT <br />SAN JO, OUIN COUNTY PUBLIC HEALTH _;RVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009, STOCKTON, CA 95201 <br />BUSINESS ADDRESS <br />/1//A <br />/✓ <br />STR <br />DATE <br />// /V�J - <br />OWNER'S NAME DBA <br />1 <br />rod. <br />COMPUTER NUMBER <br />MAILING ADDRESS <br />Filters <br />1 <br />TIME IN <br />PERMITILICENSE <br />4 <br />IL <br />PROGRAMIELEMENT <br />SERVICE <br />TIME OUT <br />RATE OF FLOW <br />pH <br />Ow <br />CL <br />TEMP <br />OTHER <br />77—m–arked items represent Mealtri L;oae violations and must oe correcteI <br />STR <br />OPER <br />1 <br />rod. <br />i <br />Z <br />Z <br />w <br />Filters <br />1 <br />2 <br />3 <br />4 <br />IL <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 />G <br />Skimmer & Gutters <br />13 <br />14 <br />Back Flow Prevention <br />15 <br />16 <br />Waste Water Prevention <br />17 <br />18 <br />Water Supply & Duality <br />w <br />Pipe & Fittings <br />19 <br />ZO <br />Pool Shell <br />20 <br />21 <br />22 <br />zI- <br />Bottom & Sides <br />00¢ <br />Decking & Coping <br />23 <br />24 <br />F- <br />Diving Boards <br />25 <br />26 <br />Resure Pole <br />27 <br />28 <br />Z <br />Life Rings <br />29 <br />30. <br />31 <br />32' <br />i <br />Safety Signs <br />T3- <br />OL <br />Lifeguard <br />5 <br />O <br />Lighting Else. <br />34' <br />35 <br />Lu <br />Ladders <br />36 <br />37 <br />38 <br />39 <br />w <br />LL <br />Depth Markers <br />40 <br />41 " <br />Q <br />N <br />First Aid Kits <br />42. <br />43 <br />Gas Masks <br />� V) <br />showers <br />44, <br />45 <br />w0 <br />Toilet & Dressing <br />46 <br />47 <br />¢¢ <br />Ventilation <br />48.. <br />49 <br />Chlorine <br />50 <br />>> <br />JF <br />PFI <br />51' <br />00< <br />Cyanurates <br />52', <br />ad <br />Clarity <br />53 <br />Test Kits <br />54 <br />supervislon & Control <br />LU <br />i <br />General sanitation <br />r57 <br />r <br />O <br />Miscellaneous <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E[] G❑ F❑ P❑ <br />C❑ <br />77—m–arked items represent Mealtri L;oae violations and must oe correcteI <br />— <br />1 <br />rod. <br />i <br />ON <br />Rlwl��Ipaw "M <br />I•I � <br />OIIIIiRESS <br />445 N. SAN JOAQUIN ST.. STOCKTO14�;1;rI�►r <br />(NO MAIL IS RECEIVED AT THIS ADDRLSS) <br />PHONE (209) 468-3420 <br />bow <br />• <br />2188 <br />