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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQ UNTY PUBLIC HEALTH SE
<br />
<br />EN NTAL HEALTH DIVISIOINW
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />i S4 0 M Os,k-k-(-
<br />DATE
<br />R / Z °21-
<br />OWNERS NAME/DBA
<br />c31 0 0 1— \)Qieditid„ N M--c.
<br />COMPUTER NU BEN
<br />MAILING ADDRESS (e 0,, TIME IN
<br />' PERMIT / LiCENSE PROGRAMiELEMENT SERVICE
<br />1 LktiVSL___-
<br />TIME OUT
<br />RATE OF FLOW,
<br />°2- *rev \ -
<br />PH
<br />7 , G.,
<br />CL.
<br />e • • - , , 7, e (:)-,,--
<br />TEMP OTHER C Lic ,N .._,..„, i c c., c
<br />> i 0 0 e e in, RECIRCULATION EQUIPMENT STR OPEN
<br />Fillers
<br />Pumps
<br />Chlorinator
<br />Flowmeter
<br />Gauges
<br />Skimmer & Gutters
<br />Back Flow Prevention
<br />Waste Water Prevention
<br />Water Supply 8 Quality
<br />Pipe & Fittings
<br />1 2
<br />3 4
<br />5 6
<br />7 8
<br />9' 10
<br />12 11
<br />13 14
<br />15i 16
<br />17, 18.
<br />W20
<br />19, CON- STRUCTIO Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21' . 22
<br />23 24
<br />25 26. SAFETY EQUIPMENT 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 />27 28.
<br />29, 30,
<br />31 32 .
<br />,°7././433
<br />34, 35
<br />36' 37
<br />38 39
<br />40: 41
<br />42, 43
<br />ri) 1-I
<br />wv cco
<br />CC
<br />Showers
<br />, , 10elet & 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 />51
<br />
<br />CC
<br />1.11
<br />I
<br />, O I
<br />Suaervislon & Control
<br />General Sanitation
<br />Miscellaneous
<br />
<br />56
<br />57,
<br />E
<br />POOL
<br />58
<br />STATUS:
<br />G n
<br />59
<br />(MARK
<br />F n
<br />60
<br />ONE)
<br />p n61 c 62 ri
<br />PHS F..1-, ' .2 ,A,W
<br />ii-, cn_c
<br />ki i e-r--f
<br />The marked items represent Health Code violations and must be corrected, as
<br />follows:
<br />0,, , t -c, --i, '1.- V I Cy-, rb-'Q._ 1 ' IAA- , USI4t,)Le
<br />, -1-r. 1\ , .1 tA 4CA, illAJ
<br />Alt•L (, 1-- 011-. k c 4- AskL A G's-- ko 141,_1,
<br />1-) c) i im-vvi, At . Covyva cf r t.-,v,-,0-1,----0-7 i )
<br />CJIN It ) GW-
<br />C I AA l/1-A-1:1-". a0 4- c-1 ro. tA) trlel_ { Ail L.4 Wei's(
<br />Chtc_ 14-- +1A:A4 1 t kt.- -4;), e-et_
<br />6,,iii_ 10 1 01A-) 'i 4- c) 1) 4- i f----
<br />0 VO-e- 1.1,1r 11/1" I. V --CArVt"- <.' le--- Oil"- Vt-N-CA--11—
<br />._
<br />PYti-Vyjk, 1/t)Q vYS 12,7 qi 1 0 a ,
<br />60 L AA( .:j t A 0 /1-of - o r- i I ‘i%. -s I1/4- or-6—E
<br />C (Ft 4.0?-e--
<br />.bc-tc lc -iL V Q_A j t,t_e_ 1 P 4W s
<br />()-•,_,-;',2 ver.,,,e- ---h-y kk -1_,A.,,,is ciA 0-1. kt cl 00 -1 k _ ,
<br />FC I 1 >tk 1 6tv z c r et, i('- ad
<br />J
<br />111/4.7
<br />(..) Ck l ek,vx l•t,,V t-G at ot I vtir /co
<br />b ro in ti ci l(t.,c; e t cfrvId ty-t-ee 5 ? / ; 1/1) q y 7
<br />(..,D F-1 ' i i i'l p n3-e- 0« ur 0,P1C 5 it e I:,
<br />4 o ,D, ,
<br />1 tO HY \-Ilicl"It
<br />---
<br />ECEIVED BY: p -,
<br />Ett AtNEAL1M SPECIALIST
<br />t$
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