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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAC —N COUNTY PUBLIC HEALTH SET ICES
<br />EN ,A1ONMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS .„ 1c0 6g— kiliAA_; n..C.,......1_,
<br />DATE
<br />!op -210 3
<br />OWNER'S NAmE,DBA
<br />t10141A-V 4 Or-ft:C,e- Pet 1 / CPC_
<br />COMPUTER NUMBER
<br />MAILING ADDRESS TIME IN
<br />PERMIT/LICENSE PROGRAM/ELEMENT SERVIet,L. TIME OUT
<br />RATE OVAN I.., io, ,,Isf,,IPH
<br />i__SCICA--' 0041)
<br />fk7r, (
<br />'-, fr,...
<br />--- -7,
<br />—... 7
<br />4-
<br />0
<br />CI_ bock 6 -i/
<br />6P"- - i' PP\
<br />TEMP OTHER v. s c ct.e..i
<br />pc-p l - ;iv prep RECIRCULATION EQUIPMENT 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
<br />3 4
<br />5 6
<br />7 8
<br />9• 10
<br />12 11
<br />13 14
<br />151 16
<br />17. L18, 7 ,
<br />20
<br />19 ;
<br />77/6 / CON- STRUCTION Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21' • 22
<br />23 24
<br />25 26. SAFETY EQUIPMENT Bottum 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 />34, 35
<br />36' 37
<br />38 39
<br />40; 41
<br />42, 43
<br />i-(J)
<br />(,) ujO crO cr
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44, 45
<br />4e 47
<br />48; 49. POOL QUALITY Chlorine
<br />pH
<br />Cyanurates
<br />Clarity
<br />Test Klts
<br />50
<br />51,
<br />52
<br />53 ,
<br />
<br />rr lIl
<br />2 I-
<br />0
<br />Supervision & Control
<br />General Sanitation
<br />Miscellaneous
<br />
<br />56 I
<br />57.
<br />E n 58
<br />POOLSTATUS:
<br />G
<br />59
<br />n
<br />(MARK
<br />F
<br />60 _
<br />ONE)
<br />P
<br />61 n c 62
<br />.,-IS .71-, 'Q2 ,A17451
<br />The marked items represent Health Code violations and must be corrected. as
<br />follows:
<br />P 1
<br />E, pt „id le si.-7- ..,,,,,,...c.,-- i‘ c,
<br />N,t) t p It ) \f, col y kk.).\/ pit iv-
<br />WI i J. ci
<br />Cot k.i.vio,; LAA.c,_ n/tiitiv,, 1 c). 44 ,
<br />b 4/76/s, 3 - ° (C---- 7
<br />(7) 1,01,04-4, v-o't -r-v-fr , c 4-it: z -,
<br />t) 'VI it;')
<br />/
<br />14ak el -t-LC. ,c) 11. re f sic
<br />
<br />1 (3'1 -Alttggc— ck- itc.A.
<br />Oula ited- e*k r-7-0-e
<br />Aitic,c 1h) ; it _sp I RIA4 /4•-ile 9 L ' 'h '
<br /> r
<br />faTY ;--2/6- 0 i 11'1 5 lo j
<br />10 t -Lvfi-v-k 7., 2- — 7, S' at AV ,t-t-ri-i- S a
<br />i e -0"-t... "spit.On — Spe-k_ cf-r " 5.1
<br />41‘fi_. c k mi v1 /4„4 ,p2,t.u.._ ,, kt„i--- on j1 /4.1 ka.v t...--
<br />+Iv-i'C'itek-i CI \ 10( fr)1,17 -.- - OFF (;-NITC1-1 i' 514 9"
<br />:/"-i it 6-ktt, , ivt, cfrA.., t
<br />I° V 47113)0 3
<br />
<br />RECEIVED BY
<br />HEALTH SPECIALIST
<br />PAGE 1 OF .2......-
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