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POOL STATUS: (MARK ONE) <br />58 59 60 61 62 <br />Gn FE P[] CE ^ <br />RECEIVED BY: <br />II SPECIALIST <br />.fry21:7 <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 />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOA( IN COUNTY PUBLIC HEALTH S VICES <br />EN tRONMENTAL HEALTH DIVISIOi. <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS <br />altoo Naiseasz.....---)4-57 <br />DATE <br />5R COMP R NUMBER OWNER'S NAME/08A U <br />-1-1tAvvio 1 Ail <br />MAILING ADDRESS TIME IN <br />PERMIT/LICENSE PROGRAM/ELEMENT SERVICE TIME OUT <br /> <br />RATE OF OF FLOT i 0 6 iti;,i4 <br /> <br />4 — --7.-. ,s..... <br />fook - <br />IT 4 <br />CL. ? -. 23 I:3 <br /> <br />.- i <br />TEMP OTHER <br />Pool Shell <br />Bottom & Sides <br />Decking & Coping <br />Diving Boards <br />fissure 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 />Showers <br />Toilet & Dressing <br />Ventilation <br />Chlorine <br />pH <br />Cyanurates <br />Clarity <br />Test Kits <br />Suoervision & Control <br />General Sanitation <br />Miscellaneous <br />PHS-EH 1 ,12 IR/9S1 <br />The marked items represent Health Code violations and must be correctert as <br />follows: <br />le44„..s• 4- --t <br />A 6a4-,Z (IFW-c.Aa <br />AireAA.9.A.k7F <br />Q <br />occ&floy_1 (1/.04 ,ivt_w_Qavkaoti <br />70' sinAL_Ll <br />I . <br />1-1,ave ecto 17-- etJg- <br />V. <br />C e <br />C,14 eeN/k r-tc4CL AC)d <br />---1714:- CA- V VIA-12. 12-0CY )41,2-- 3 8 <br />re <br /> 4 2 LC 4 .7 n <br />0 b4-L <br /> AO() eR 11141LL-C. <br />2-2-0 ,c).6 -I- 1 b.oci <br />/7 <br />34' <br />36' <br />38 <br />40 <br />42, <br />44, <br />46' <br />48; <br />IM.4212-e-Ainel <br />if 33D e)D