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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQY' N COUNTY PUBLIC HEALTH SEF CES <br />ENV iitONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS <br />I , $ fOc- I 1) ft) <br />DATE <br />) 7 k - c i <br />OWNER 'S NAME/09A <br />11 . o <br />COMPUTER NUMBER <br />MAILING ADDRESS TIME IN <br />PERMIT/LICENSE PROGRAM/ELEMENT vaVICE L, <br />r-eAll I) <br /> TIME OUT <br />RATE OF OF FLOW co 5 qt,t)L,----• PH 17001-- -- 7. li CL. (75721, - i ,-2...... TEMP OTHER <br />s ca) RECIRCULATION EQUIPMENT I SIR 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 1 <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 />Y /' CON- STRUCTIO Pool Shell <br />Bottom & Sides <br />Decking & Coping <br />Diving Boards <br />21' . 22 <br />23 24 <br />25 26. SAFETY EQUIPMENT Assure Pole <br />Life Rings <br />Safely 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 />311 32' <br />34 35 <br />36' 37 <br />38 39 <br />40: 41 <br />42, 43 <br />tn 1-cn w0 <br />ctO cc <br />Showers <br />Toilet & 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 />53. <br /> <br />Cr Ul <br />X <br />0 <br />Supervision & Control <br />General Sanitation <br />Miscellaneous <br /> <br />56 <br />57. <br />POOL <br />En <br />58 <br />STATUS: <br />Gn <br />59 <br />(MARK <br />FM,' <br />60 <br />ONE) <br />61 <br />c <br />62 <br />p <br />5 T = I b <br />.'r: /Ar4S1 <br />The marked items represent Health Code violations and must be corrected, as <br />follows: <br />cl, NO_ ckv rklA -h146 ArN/i, ot -C-etr-cl , P--epkLe <br />71 Li 0 2, <br />(qp 9-)14-411 5 i OA li'r i NAAA&-.0\,^3 1/V--0--ei ' ' CY (( Pep LOCCe I)) 6/ <br />C63 Cfp, 9Ly, hi.,\47 1-1 c‘i pi \.61 t-,11 pc,64 2 .ui 6 (-2 -2- 10 ? _ <br />0 eco i c':),Vi Ukt.,- 4 6-(c ( ifili rei sed re 0 t . <br />VIDVid,e " 6 2_--- d 2— <br />l, ' , . P-epit&e- 6 26/0-2_ <br />612) <br />RECEIVED BY <br />(.........,,_.., <br />.. , <br />eriGE 7117 7 L51)1 - <br />2402_