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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQU I N COUNTY PUBLIC HEALTH SER VI CES
<br />ENA .ONMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />8.1 Co "Th 6 r+on Roa 0(
<br />DATE i
<br />8 / ‘, 70 1
<br />OWNERS NAME ,DBA
<br />34-1) ck -to v\ 1k 1-. Lodl e.
<br />COMPUTER NUMBER
<br />MAILING ADDRESS TIME IN
<br />PERMIT iLICENSE PROGRAM , ELEMENT
<br />SCO t t
<br />SERVICE TIME OUT
<br />RATE OF FLOW
<br />"-. LE
<br />Pti
<br />-7.4-
<br />CL
<br /> -
<br />0 1 -. Ro‘Ait.vNef
<br />TEMP OTHER
<br />(YPt_
<br />£0.,(,- 0 RECIRCULATION EQUIPMENT I SIR OPEN
<br />Filters
<br />Pumps
<br />Chlorinator
<br />Flowmeter
<br />Gauges
<br />Skimmer & Guiters
<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. CON- STRUCTIO Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />Nr7 20
<br />21. . 22
<br />23 24
<br />25 26. SAFETY EQUIPMENT Resure Pole
<br />Lite Rings
<br />Safety Signs
<br />Lifeguard
<br />Lighting Elec.
<br />Ladders
<br />Depth Markers
<br />First Ald Kits
<br />Gas Masks
<br />271 28.
<br />29 30,
<br />31i 32'
<br /> 33
<br />34. 35
<br />36 37
<br />38 39
<br />40. 41
<br />42, 43
<br />cr) 1-5 cn — LAI 0
<br />MO CC
<br />shower,
<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 />
<br />cr
<br />Ul
<br />I i-.
<br />0
<br />Surt.ervision & Control
<br />General Sanitation
<br />Miscellaneous
<br />
<br />56
<br />57.
<br />E
<br />POOL
<br />58 _
<br />STATUS:
<br />G
<br />59
<br />(MARK
<br />F
<br />60
<br />ONE)
<br />P
<br />61
<br />C
<br />62
<br />. .
<br />I t rs%
<br />1VNF —
<br />€4 —
<br />IQ/ •
<br />12I6 A
<br />0,s. 7.i-, ..2 rAtq)
<br />\
<br />-- 7:1 -40A.c.s• 1.,--, ._
<br />The marked items represent Health Code violations and must be corredect, as
<br />follows:
<br />6) pv.vv, -1-er 1.s seft- for -too hors.. skort err
<br />Pcljv.st .so 4110,4- st.si-ev, %:_s 0A.v,v,,:.„1 wine v‘ ( I .c,, (.v1 ro
<br />41\--Se. (1) , Mare:Core. -t-iv,<..c.- v.,......34- v,-,0,4-c..1-k or I'v\ci..Ade, ;
<br />cre_vvi- ool ko1 /4...4.-5 o-C I -
<br />0 be1/4 -,(/ (osv-‘04- -6c1.. If t..04 CACIA.vxdot 50 Aireirlay
<br />CsecorA c..Le_e•Niccd recA.4.-15 . For -6-fAre_ refecetAce._ -)
<br />keef a. °Ty ok., si-fe ..
<br />
<br />. Poo( c .+7 -= 113 - 20 o...,..., &pact Fill iv. czk . st. vl r
<br />90 c,,e 51 Ze, o-c pm ( -Pow rwte- t'S sc,,,e,...)1-4+ lo w
<br />1 ) )
<br />
<br />4-1), no -ReA,.; 0,-+ afl. el dee f evNel kos arpd,f ein, -
<br />a ecled ANII 1)e...rv4 7 av,4. re,....,eAtys IA e frobkw,
<br />ri erov 1.61,e_ v....A-cal cle 4t1 ,,ricers Av-‘ 4;1-e. 17y 87
<br />* C-Lewo.c-0,15 look 300d.
<br />* .0,4-y ei.,i.pv,er\+ ivl orcter •
<br />(Zee...0‘,......,e-sAct rerair (LA sowi-k
<br />-tlief-e_ 0..fe. k......fxior crexcks.
<br />.....-- _.,
<br />,
<br />RE ED ty
<br />Eev T PEALTX SPEC ‘
<br />E 1 OF 1
<br />20/6i
<br />&P.\ "OttV\
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