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S�ti IMINI1NG POOL OFFICIAL INSPECTION KEYORT <br /> SAN JOAQUIN COl NTY PUBLIC HEALTH SEIV`CES <br /> ENV )NIMENTAL HEALTH DIVISION <br /> 304 EAST WEBER :EVEN UE, THIRD FLOOR <br /> STOC KTON, CA 15202 <br /> (201) 468-3420 <br /> UAIE <br /> BUSINESS ADDRESS <br /> 3S3(� pyE9rStF-y�Q-�i S- 20--03 <br /> OWNER'S NAME IDBA COMPUTER NUMBER <br /> C — I TIME IN <br /> MAILING ADDRESS <br /> PERMtT7UCENSE PROGHAMIELEMENT SERVICE TIME UUr <br /> 34, 1 1 , 3� ��— j <br /> rJ +� �f W1 An TEMP OIFILRI L <br /> RATE ff F I^ LV 0 JP <br /> I v~ f div I •"�.p CL no-n I � pe v%^— 14 , <br /> it t.0 (] IeA1�2– ri <br /> jf <br /> uv- The marked iterns represent Health Code violations and must be correctELL as <br /> r <br /> Z Filters 1 2 follows: <br /> ,I w <br /> 'I Pumps 3 4 � <br /> I4 a G/ otri.�Ir~ <br /> Chlorinator 5 6 _� <br /> Yl <br /> Ow Flowmeter <br /> O Gauges 9' 101K�j r/� tel- (fit <br /> I- Skimmer d Gullets <br /> � :1:14142-1 I-Cn�Wtt✓t0. /, /J/� <br /> J Back Flow Prevention w0yi�f <br /> I, ff <br /> Waste Water Prevention 15. 16 �� <br /> U water Supply&Quality 17. 18. <br /> ¢ Pipe d Fittings 19 f L/ <br /> i <br /> O Pool Shell 20Gc <br /> hZt– Bottom&Sides 21 22 <br /> fro= Decking d Coping 23 24 <br /> Diving Boards 25 26• I <br /> Fla Fissure Pole 271 28 w' ' e-1,AuV 3�� �Z OP - ��I <br /> Z <br /> Uto Rings 29 30. n ahl� 1 t E ke, kid,,j L-) <br /> "' Safety Signs 31 32 PeAh t �`hl <br /> IIS <br /> n lifeguard 33 <br /> 0Llgnting Elec. 34' 35 <br /> f w <br /> Ladders 36 37 I � <br /> UJ Depth Markers 38 39 c�Qu C►`c til I fit? I <br /> LL <br /> Q First Aid Kits 40 41 <br /> Gas Masks 42. 43 <br /> rrn Showers 441 45 <br /> w0 Toilet S Dressing 46' 47 �– <br /> ¢Q Ventilation 481 49 <br /> Chlorine 50 pow— <br /> Chlorine <br /> pH 51 <br /> -jI-- <br /> IOOa Cyanurates 52. <br /> Id-a Clarity 53- <br /> Tett Klts 54' n <br /> F, c--.mr, <br /> SOD•,vision b control 55---i 1.., a , QKK)AjY M'(((JJlyyy ���"'Genr�rel Sanitatlon F5771 <br /> , 0%Mlscetlaneous <br /> PO(,, STATUS: (MARK ONE) <br /> r ' 59 60 61 62 I t� ��e h��✓�� 3 -� 1 t'�'`V`� <br /> E L G F ❑ P ❑ Ca <br /> I E Br <br /> or <br /> EMrlltw rpt n .WtCL.LLST <br /> �b 1)Vt r s "e <br /> li our�I. • �«�, I PArc CF� � <br />