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SWIMM POOL OFFICIAL INSPECTION r- —)ORT <br />SAN JOR,JUIN COUNTY PUBLIC HEALTH ;,_rIVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009, STOCKTON, CA 95201 <br />BUSINESS ADDRESS <br />7a& Ar-A. k" 4 6- (A0 /) <br />DATE <br />COP/ ER 21E165— OWNER'S NAME/ DBA <br />P--- $06 i a 6 4,1 7 <br />MAILING ADDRESS TIME IN <br />PERMIT/ LICENSE PROGRAM/ELEMENT SERVICE TIME OUT <br />RATE OF FLOW <br />%, Of A A <br />PH CL TEMP OTHER I[ RECIRCULATION EQUIPMENT STIR OPER <br />Filters <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 7 i W-C-ONI-TRUCTION Pool Shell <br />Bottom & Sides <br />Decking & Coping <br />Diving Boards <br />V .. 20 <br />21 22 <br />23 24 <br />25 26 SAFETY EQUIPMENT I Resure 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 />(/ /Z. <br />!if< <br />33 <br />34 35 <br />36 37 <br />38 39 <br />40 41 <br />42 43 [REST i ROOMS Showers <br />Toilet & Dressing <br />Ventilation <br />44. 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 />54 <br />cc w <br />I I-- <br />0 <br />Supervision & Control <br />General Sanitation <br />Miscellaneous <br />55: <br />56 <br />57, <br />E <br />POOL <br />_ 58 59 <br />STATUS: <br />G <br />ri (MARK <br />F <br />60 ri <br />ONE) <br />P <br />61 _ <br />C <br />62 <br />_ <br />The marked marked itemsiepresent Health Code violations and must be corrected as <br />follows: <br />/ref- <br />rc/ - 02 . 6 .01 a i< F-4/ <br />MO iti/C s i/A i j,i ' <br />441 - <br />cm_ - <br />..gc3-00/AA ,e../....cd,1„.„ <br />r..i.dr ell <br />1980e /...4 /4 5. I 0 ile.A al/4, 700c1 /ix <br />V <br />OFFICE ADDRESS <br />445 N. SAN JOAQUIN ST., STOCKTON, CA <br />(NO MAIL IS RECEIVED AT THIS ADDRESS) <br />PHONE (209) 468-3420 <br />°Ifilr <br />RECEIVE <br />..v4 A,i <br />RAN <br /> <br />ANITA <br />PAGE OF <br />2/88