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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAO COUNTY PUBLIC HEALTH SEF <br />ENVixONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS <br />CE) t6ti fir <br />DATE • <br />5/I :Si° C( <br />OWNER'S NAME IDEA <br />ar)e I, e/2„6-fts-K.)).-v -HO 11 <br />COMPUT R NU ER <br />MAILING ADDRESS TIME IN <br />PERMIT/LICENSE PROGRAM/ELEMENT SERVICE <br />..vti,..Li pco_it <br />TIME OUT <br />RATE OF OF FLOW PH <br />7- (A, g* , ,5,1.01"-- <br />CL <br />3. 1- <br />TEMP <br /> <br />OTHER/4 I _ <br />( <br />, , <br />&.- 0 )121•01•7 <br /> <br />C y --- (3 <br />,A51) RECIRCULATION EQUIPMENT I STR OPEN <br />Filters <br />Pumps <br />Chlorinator <br />Flowmeter <br />Gauges <br />Skimmer & Gutters <br />Back Flow Prevention <br />Waste Water Prevention <br />Water Supply & Quality <br />Pipe& Fittings <br />1 2 <br />3 4 <br />5 6 <br />7 8 <br />9' 10 <br />11 12 <br />13 14 <br />15, 16 <br />17, 18. <br />19, CON- NI STRUCTIO Pool Shell <br />Bottom & Sides <br />Decking & Coping <br />Diving Boards <br />WA 20 <br />21' . 22 <br />23 24 <br />25. 26. SAFETY EQUIPMENT 1 Assure Pole <br />Life Rings <br />Safety Signs <br />Lifeguard <br />Lighting Elec. <br />Ladders <br />Depth Markers <br />First Aid Klts <br />Gas Masks <br />27! 28 <br />29 30, <br />31 32' <br />X33 <br />34. 35 <br />36' 37 <br />38 39 . <br />411 41. <br />42, 43 <br />$-U") <br />up..., cc0 cc <br />Showers <br />Toilet & „ . ,.., toilet Dressing <br />Ventilation <br />44, 45 <br />46 47 <br />48; 49. POOL QUALITY Chlorine <br />pH <br />Cyanurates <br />Clarity <br />Test Kits <br />50 <br />51. <br />52, <br />53. <br /> <br />Cr ul <br />I i- 0 <br />SUIDerVISi011 & Control <br />Genorai Sanitattori <br />miscellaneous <br /> <br />56 <br />57. <br />E <br />POOL <br />58 _ <br />STATUS: <br />G <br />59 <br />1-1 <br />(MARK <br />F <br />60 <br />1-1 <br />ONE) <br />P <br />61 <br />C <br />62 <br />' .7 (g.tW <br />The marked items represent Health Code violations and must be correctecL as <br />follows: <br />/ i'Q"-- PV N 1 _c....H9 .-;'°%__L_I-___fi <br />X2: 7L si6 - A b <br />c sic40)-1, - ctA.cz,. On N F <br />--ftfv-vt <br />'Ai Se_ <br />2-4-- <br />A o i e._. Lc e f - <br />r <br />re-riVY- <br />Pi-tvi:Ak. 1 g_ ti.,-(c___ .1./ <br />( I i- k r ,1 ) leelid: --t-b-k ,Tve .4,3 ef-e-ev- <br />, ,) J <br />f <br />piv01.01 ,s- 5 p <br />W <br />icce c et -1 <br />- i, - 1 c <br />rt i ( s (e-_,:* fl4D-14.— • Ie to q12-e <br />, a .....,,:ezzt CO-c-C OeC 4: ° IL ----- <br />9 .4.--p ft-to ,cc.. -60-1,1A ti'Ct4 /0_,..11 <br />0 <br />1) <br />I r _.../ <br />4 etikc„ <br />, <br />r r_ ---h)crill-,-- * %, <br />REcEl • -/-5"-----5- -.of -,-- --..--"f..10 <br />EN NI NT L HEALTH SPECIALIST <br />GE CF