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RECIRCULATION EQUIPMENT 1 , STR OPER <br />Filters 1 2 <br />Pumps 3 4 <br />Chlorinator 5 6 <br />Flowmeter 7 8 <br />Gauges 90 10 <br />Skimmer & Gutters 11 12 <br />Back Flow Prevention 13 14 <br />Waste Water Prevention 15! 16 <br />Water Supply & Quality 17 , 18, <br />Pipe & Fittings 19 , Y i CON- ST-1 RUCTI Pool Shell W20 <br />Bottom & Sides 21 - . 22 <br />Decking & Coping 23 24 <br />Diving Boards 25. 26. SAFETY EQUIPMENT , Assure Pole 27' 28. <br />Life Rings 29 30, <br />Sagely Signs 31 l 32' <br />Lifeguard <br />Lighting Elec. 34; 35 <br />Ladders 36' 37 <br />Depth Markers 38 39 . <br />First Aid Kits 40: 411 <br />Gas Masks 42 ‘ 43 <br />0 1-2 Showers 44 1 45 <br />- , lo.let & Dressing 46. 47 <br />ft 0 48; 49. LIC Ventilation <br />Chlorine 50 <br />pH 51. <br />Cyanurates 52: <br />ri. 0 Clarity 53. <br />Test Kits 54' <br />Cr Supervision & Control 55! <br />LO <br />I i- Genoral sanitation 56 <br />57 0 Miscellaneous <br />POOL STATUS: (MARK ONE) <br />— 58 59 60 — 61 62 <br />G E F P C <br />\(. <br />VG) c< <br />0I-45 EP • .2 rg/961 <br />The marked items represent Health Code violations and must be corrected, as <br />f 0110W S: <br />'I <br />L rA <br />SWIMMr - POOL OFFICIAL INSPECTION PORT <br />SAN JOAc .IN COUNTY PUBLIC HEALTH SEA_ ICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS , <br />0 INZij Vl&'-V-IA - —11?-ittti'Y- <br />(5i),,-- <br />DATE <br />(S2 I <br />coupuER NUMBER <br />i <br />OWNE 'S NAMEIDBA tq <br />ila,n(k7)-Vn T4) (1 (1)6*-0 <br />f <br />MAILING ADDRESS TIME IN <br />PERMIT/LICENSE PROGRAM/ ELEMENT SERVICE TIME OUT <br />RATE OF1.5,.OW pH .. <br />CL. <br />. <br />TEMP <br />_ <br />OTHER