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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SEP"CES <br />ENA _ONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS <br />-›• / 449 1...,C) <br />DATE <br />OwNER'S NAME/08A <br />Z 3°1— <br /> <br />COMPUTER NUMBER <br />MAILING ADDRESS — <br />TIME IN <br />/ <- )*(--_! <br />PERMITiliCENSE pio 5‘c) 6 Z 3 <br />PROGRAM / ELEM T <br />3c 7 7 <br />SENICE TIME OUT <br />(6-- <br />RATE OF FLOW RATE PH CL- TEMP OTHER RECIRCULATION EQUIPMENT VS OPER <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 />151 16 <br />17, 18. <br />19". // CON- 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 Rasura Pole <br />Os Rings <br />Safety Signs <br />Lifeguard <br />Lighting Elec. <br />Ladders <br />Depth Markers <br />First Aid Kits <br />Gas Masks <br />27i 28. <br />29 30, <br />31i 32* <br />/ 33 <br />34- 35 <br />36 37 <br />38 39 <br />40: 41 <br />42, 43 <br />cn t-2 <br />cn w0 cro ix <br />showers <br />Toilet & Dressing <br />Ventilation <br />44, 45 <br />46 47 <br />48, 49. POOL QUALITY Chlorine <br />pH <br />Cyanurates <br />Clarity <br />Test Klts <br />50 <br />51, <br />52. <br />53 , <br /> <br />cc u, <br />X i- o <br />Supervision & Control <br />General Sanitation <br />miscellaneous <br /> <br />56 <br />57. <br />POOL <br />E n <br />58 <br />STATUS: <br />G ri 59 <br />(MARK <br />F <br />60 <br />ri <br />ONE) <br />P <br />61 <br />TI C <br />62 <br />OHS F.P ' 4 2 r!W <br />The marked items represent Health Code violations and must be corrected, as <br />follows: <br />0 Ct T- 04- 5.-c-2ure ii -cy , i <br />.3 ITC <br />/ 5 0 p.61,) 0 1,c).;E- 1 <br />)'!-(6-) 1 i-L--Z- L_.. <br />/ AJ .../11.6 /6)rrzykt d 1-7-71 (9 0 (_8R 15 <br />Oz,6-1ow i kl4 ri-ALDIP7.-6-k., y <br />)___ R 1 1 ibok 07-fait"; c----) (:- To tc) i c.) L)6 <br />1,LO-o &-(:.-u de2RRE-erti , <br />_ <br />RECEIVED 13Y1...‹..i.:1- lot ryy <br />um NT NEALTN CIA <br />/ <br />--r-