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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQVN COUNTY PUBLIC HEALTH SEF CES
<br />EN N -ONMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />/2'4°0 ALLIP---a'
<br />DATE
<br />OWNER'S NAME,DBA
<br />TIA,IA/
<br />COMPUTER NUMBER
<br />MAILING ADDRESS TIME IN
<br />PERMIT/ LICENSE PROGRAM / ELEMENT _SEIVICE TIME OUT
<br />RATE OF FLOWst pH
<br />1 4
<br />CL
<br />4).---
<br />TEMP OTHER .
<br />c.4k z o pfyy-
<br />1 RECIRCULATION EQUIPMENT I STR OPER
<br />Filters
<br />Pumps
<br />Chlorinator
<br />Flowmeter
<br />Gauges
<br />Skimmer 8 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 />VM20
<br />19. CON- STRUCTIOM Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21. . 22
<br />23 24
<br />25 26. SAFETY EQUIPMENT Rasura Pole
<br />We Rings
<br />Safety Signs
<br />Lifeguard
<br />Lighting Elec.
<br />Ladders
<br />Depth Markers
<br />First Ald Kits
<br />Gas Masks
<br />27' , 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 />to I--s (/),-,'' u.r....• ccO cc
<br />showers
<br />Toilet & ,, o Dressing
<br />Ventilation
<br />44 1 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 />54"
<br />Cr
<br />lll
<br />I 1— o
<br />Supervision & Control
<br />General Sanitation
<br />Miscellaneous
<br />55'
<br />56
<br />57,
<br />POOL
<br />E n
<br />58
<br />STATUS:
<br />G n
<br />(MARK
<br />59
<br />F ri
<br />60
<br />ONE)
<br />p H
<br />61
<br />cp
<br />62
<br />to'
<br />D,-i„ .71- • n:, ,,..4)
<br />V.—Ct---
<br />7)3-pc
<br />\ ,
<br />The marked items represent Health Code violations and must be correctect, as
<br />f llows:
<br />\NAAtf. at po r-Okok) I-0,-(J1---r
<br />-ppiv\ hi
<br />co- i_ets,)--
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<br />vl ,i0A,66-2 (ii yvvo2V42-c, - 9, moil
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<br />v\ia't-2, --i-n yyN,t5 , Irliltig-\-.
<br />-INV -\)/b? U -22 --O 1
<br />' 100/Gii66--it di,It ilD—b-
<br />v\ili046/1,), q10a.14._ --blps (I) - i,7-0
<br />i A\ 11.-'"---c)ctiKt.L sin N. locui. UAKIII:(
<br />2u 90'14ILA AvEffn (Ler
<br />12.1,(Acg-fermn,-1 ciAlali-c-e__ 67 -21 -6 (
<br />10/110-qtt ( 1 r) (_) 0
<br />.r El") BY
<br />l' Ø l i
<br />SI -.111%.'11j
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