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SAN JOAQUJ''' -OUNTY PUBLIC HEALTH SERv" 'ES <br />ENVI.,. 41VIENTAL HEALTH DIVISION . <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 93202 <br />(209) 468-3420 <br />pc3-e Cto-y cj <br />'236 )-1)0?4f <br />BuSINESS ADDRESS <br />„.., . <br />/5 i- ..,,L4/1..,7//'1-' -4-a4t."-e C---f-/L., <br />DATE <br />; <br />OWNER'S NAM . II A <br />I .. <br />---.4t, '6C 1 211 ' e 14P1,115 "3" /1-er ,441k4 <br />COMPUTER NUM1304 <br />MAILING AGGRESS <br />' 61' ?)0)( '7)4i. g 6, 0 C") S a c/i/-kr."--,1-71.0 6-4-0/1-. <br />PERMIT /LICENSE <br />/ <br />TIME IN <br />9 • 3 <br />PR0'.2 /'-i()/J '2o//o5 2, I'? 0 ''') <br />PROGRAnA rELENIENT <br />• ;3///3 ' 1-2--730 /2- <br />SENviCE <br />.--2Pc: I • '7.)/21 101 <br /> <br />rurAE OUT <br />RATE OF FLOW ri CL <br />pti-e. _kex- 15 .1 <br />TEMP 10IntH <br />5ect. 419,2f- <br />, v..e ovea00. 0 <br />. ya-A rN 0 <br />diervL /o0•00 . . _ CON. STRUCTION RECIRCULATION EQUIPMENT S114 lieu' <br />Fillers <br />Pumps <br />Chlorinator <br />Flowrneter <br />GaUfpf] <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. .{ i <br />Pool Shell <br />Bottom & 5lato3 <br />Decking & Cooing <br />Diving Boards <br />7 A20 <br />21' . 22 <br />23 24 <br />25 26. . . . . . . REST ROOMSI SAFETY EQUIPMENT Fissure Pole <br />Lite Rings <br />Sagely Siva <br />Lifeguard <br />Lignting Elec. <br />Ladders <br />Depth Markers <br />First Ala Kits <br />Gas Masks <br />27' 28; <br />29! 30. <br />311 32' <br />(/ / 33 <br />34 35 <br />36 37 <br />38 39 r <br />40: 41 <br />42, 43 <br />Showers <br />Toilet & Dressing <br />ventilation <br />44, 45 <br />46' 47 <br />48; 49. POOL 1 QUALITY I Chlorine <br />pH <br />Cylmurates <br />clarity <br />Test Klts <br />50 <br />51• <br /> <br /> <br />54' <br />ct ui <br />T <br />'6 <br />Suonivision & Control <br />General Sanitation <br />MIscellaneous <br />55• <br />50 i <br />57: <br />POOL STATUS: <br />E L G <br />, <br />59 <br />(MARK <br />F <br />60 n <br />ONE) <br />P <br />61 <br />CI <br />62 <br />The UT lar20;.; itCrns represenill-iealtn Cooe violations and must be correcttti. as <br />follows: <br />(1)-1-/-1 Cija,n4.4..A_A c C12-1)-Le (15 A...Le p 67)4 .) / ea <br />--iv-o k4 k. k 9.fiy, (J,--7,4_I iLi- 100 <br />Cilk.,Q. +1 /1.4,9 <br />0 a c•ta;t(A) LD ), • Sil_pak_ 1,2_i rvict.A>1 f-ck-A. rur oi ) <br />66-)-vr-c 45)"--'L 0 44-0-e ±k-r'- ‘-'14•,1<- r a-i,-Q.0_,LA.A.r1 L.-k__ <br />(A_A ail ii nA-ty3 , ( +0 --p rt v 1.4,2l h u-r ,t ta",..) <br />o ,hi 11/ rk-k. Et- Lit_dmi S) t 60Cg_ C-1,6 (11;‘1^k / e ii 14 <br />)0 litir-i .1 - P - 'b -1--e s-4 .-1.'--1 <br />'3)-11A-t r 1,Le•r-; ,_.? LIA,4__Q r 6-1,-eA t* +u-L) f ay- <br />a( 0, <br />L.) -) c, 1 . S" <br />" V P <br />RECEIVED <br />lamcM 1, ImaLl la <br />OvIA 41,j , twx, uet7 <br />PAGE i 0 1