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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQUJ^r COUNTY PUBLIC HEALTH SERVICES
<br />ENV1 /NMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS AOOFIESS
<br />-6-g Adtgerri
<br />DA TE
<br />OWNERS NAME lOBAn O COMPUTER NumbER
<br />MAILING ADDRESS TIME ;yr
<br />PERMIT/ LICENSE PROGRAm ,ELEMENT
<br />T,,,,,,,
<br />SERVICE
<br />(Z,.
<br />TIME OUT
<br />RATE OF WIN!) 1 _ , (I x
<br />- I 1`. c ael -
<br />H I -
<br />_.... -7,
<br />.
<br />2--
<br />4...1 CL ..... ..t. 3 ,..;....
<br />Va--- vc PP4%
<br />OTHER
<br />en) i - -
<br />/ OcW RECIRCULATION EQUIPMENT SIR UPEn
<br />FilleiS
<br />Pumps
<br />Chlorinator
<br />Flowmeter
<br />Gauges
<br />Skimmer & Guiters
<br />Back Flow Prevention
<br />Waste Water Prevention
<br />Water Supply & Gustily
<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.
<br />M20
<br />v
<br />i CON- STRUCTION Pool Shell
<br />Bottom & Side,
<br />Decking & coping
<br />Diving Boards
<br />21. • 22
<br />23 24
<br />25 26. _ SAFETY EQUIPMENT Resure Pole
<br />Lilo Rings
<br />satiety signs
<br />Lifeguard
<br />Lighting Elec.
<br />Ladders
<br />Depth Markers
<br />First Aid Kits
<br />Gas Masks
<br />271 26.
<br />29 ; 30,
<br />31; 32'
<br />/ .4 7/z/ 33
<br />34' 35
<br />38 . 37
<br />38 39
<br />40; 41
<br />42, 43
<br />(i) 1,---s (n -'-ujo
<br />cc 0 cc
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44, 45 1
<br />46: 47 1
<br />48; 49. POOL i QUALITY A Chlorine
<br />pH
<br />Cyt.nurates
<br />Clarity
<br />Telt Kits
<br />50
<br />51.
<br />52
<br />53 ,
<br />54'
<br />cc u,
<br />I
<br />Sun- ,ision & Control 55' .
<br />General Sanitation Fr; i-
<br />0 Miscellaneous 57.
<br />IEL
<br />POOL. 3TATUS:
<br />c
<br />G 59
<br />(MARK
<br />F
<br />60
<br />ONE)
<br />P
<br />I .\..T
<br />61
<br />C
<br />62
<br />61)1
<br />10 11
<br />14 tkfr
<br />-
<br />The marked items represent Health Code violations and must be correctect. as
<br />follows:
<br />i 5eX 4 f cap ., iy 3° ^
<br />Spe... CIA. n t4A-4. d,C,42PC ' 5 ovall, 10 ci AA— _CD
<br />e
<br />rbvPS l'"Pe.--;1 /ei 41 i°3
<br />& _ccr.,21,J 41. ,i spi- t () tr( (-1
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<br /> Id-wti._
<br />T vu-l-r a 0, e )‘-v5 (Arn-Ki )"Li " ) tch.,,, 8_0vok2
<br />-fkcit 14 nb+- q Cki- ho -1--0,4
<br />1,,,e ki -7/10/03 k,
<br />6 sik, 14%.,w....., wtki. ciktc k viStie ç9
<br />kvilc. a l cc' .30L.A.coe__ P"t
<br />r-t-Apo 63 A C1200 eadil (he 1,044 (1.te.-OLei
<br />Q 1,-2-64 _ __„„ .11_,, ito tic 4, rii oi
<br />(tit ' 042" 014.0.dt c4- f tliA/
<br />?)1191./ dr- cil-e-ot 4\11-Vt?i- yi,-/c, . rc.J2-Q
<br />AAA_ oP dYSI-c-fitA
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<br />1'it cr ,v„,,,c___ a .e.t/t- DvLeA/ I OD? piciA. ,
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