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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAO' *'N COUNTY PUBLIC HEALTH SE *CES <br />EN .ZONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS <br />I S Lf 0 IL4 0 S 4 ( C.- <br />DATE <br />OWNER'S NAME/08A <br />u/ E A,' e -r-i Ai-) i )?er 4- e-- A i . RP&- M C-/•-fr- 31, i ( <br />COMPUT R NUMBER <br />62_ Co r.,/(.6.7' <br />MAILING ADDRESS <br />3d-. <br />TIME IN <br />PE RmIT i LICENSE PROGRAM/ELEMENT <br />3 t- H 3()./1. i <br />SERVICE <br />›7_ t-"- E-, —LS,-9.:.: (7 -77 <br />TIME OUT <br />c)...) <br />RATE OF FLOW <br />< 4 0 -Pi--f <br />pH <br />c p A <br />CL • <br />,-(2.—tk 5--oty --- ( rec. <br />TEMP <br />(AAA .1..-4. in (4, ,., .4,—‘71 ' <br />I 4) P1-4*-- 1 <br />OTHER <br />'ex), CYA >70c) .fi <br />y <br />jsF <br />F RECIRCULATION EQUIPMENT I STR OPER <br />FillerS <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 />15! 16 <br />17 . 18. <br />19 .. ,rg CON- STRUCTIO 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 />Life 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 />31 32 . <br />//.., 33 <br />34. 35 <br />36' 37 <br />38 39 <br />40: 41 <br />42, 43 <br />i.-co cn LLJO <br />cc0 cc <br />Showers <br />Toilet & Dressing <br />Ventilation <br />441 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 <br />111 <br />I <br />8 <br />SUDervision & Control <br />General Sanitation <br />Miscellaneous <br /> <br />56 i <br />57, <br />E <br />POOL <br />58 <br />___J <br />STATUS: <br />G <br />59 ---,_ <br />(MARK <br />F <br />60 <br />ri <br />ONE) <br />P <br />61 <br />C <br />62 <br />ow: :',u • /p, rA/W <br />CFc7c 1-.)e) L A <br />The marked items represent Health Cocie violations and must be correctei, as <br />follows: <br />LI I o ( u +7 t--,s_. 44 0_,..'' (1..) ' <br />_ <br />I 6 / <br />G.._ ,-/ (7....) r <br />CC r"/Ne_ f-4-e_oe <br />0 ) c , ,,-)".e_ 4 -44 6) k) 10- -) a ., C ) F(/ 9 (C___3 <br />oi . <br />J <br />,,,,, 0, <br />RECEIVED ElY <br />-- <br />owl A). T LALLsT <br />.i.-•••-•—.______ <br />PAGE / OF i