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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQUIN. COUNTY PUBLIC HEALTH SERIThv'ES
<br />ENN 3NMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />4,
<br />DATE
<br />OWNER'S NAME ,DBA
<br />P -- ,f 4 1..4,
<br />COMPUTER NUMBER
<br />MAILING ADDRESS TIME IN
<br />PERMITILiCENSE PROGRAM/ELEMENT SERVICE TIME OUT
<br />RATE OF FLOW pH CL 1 TEMP
<br />I
<br />OTHER RECIRCULATION EQUIPMENT I STR OPER
<br />Fillers
<br />Pumps
<br />Chlorinator
<br />Flowmeter
<br />Gauges
<br />Skimmer it Gutters
<br />Back Flow Prevention
<br />Waste Water Prevention
<br />Water Supply & Quality
<br />Rpe & 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
<br />M20
<br />,W//' CON- NI STRUCTIO Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21- 22
<br />23 24
<br />25 26. SAFETY EQUIPMENT 1 Resure Pole
<br />Life Rings
<br />Safety Signs
<br />Lifeguard
<br />Lighting Elec.
<br />Ladders
<br />Depth Markers
<br />First Aid Kits
<br />Gas Masks
<br />27! 28 .
<br />29 30.
<br />31; 32'
<br />/1433
<br />34' 35
<br />36 37
<br />38 39
<br />40. 41
<br />42, 43 --
<br />(/) 1-- 2
<br />LTJ O
<br />cr 0 cc
<br />Showers
<br />%dot & 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 />cc w
<br />I I-
<br />0
<br />Supervision & Control
<br />General Sanitation
<br />miscellaneous
<br />
<br />56
<br />57
<br />E
<br />POOL
<br />58
<br />STATUS:
<br /> G L]
<br />59
<br />(MARK
<br />F
<br />60
<br />ONE)
<br />P
<br />61
<br />C
<br />62.
<br />..2 (An:A)
<br />The marked items represent Health Code violations and must be corrected, as
<br />follows:
<br />_ _
<br />0.47 •:).e ii- - Lik 0
<br />_..-
<br />---7-___- A e < r•-•,•vet f‘,.,I (1,,, ,
<br />‘ , 1 • ‘, • 'le -4 i. 1 (..e. , .h,
<br />, ), 5
<br />k -4
<br />
<br />4 t.,1 b V 141
<br />. ,.
<br />Y P , . liA. )L1 9‘
<br />11 4 ty
<br />,..,,
<br />-tiirvi,t (:-, ,,...16tqi •..vii, ,A, (..r., , i-le.i__ P re-/ i 0,1..7
<br />RECENED BY:
<br />1---=`,/ _ fle
<br />1,1yottp/
<br />i \AADOT7.14.""s 0111
<br />r, - - - k c 41,, .v......TA, HEALTH SPECIALisT \
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