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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQ —N COUNTY PUBLIC HEALTH SE.T 7CES
<br />EN. _AONMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />(p L16) toEsr4,k,-
<br />DATE i
<br />(PI316-3
<br />COMPU ER UMBER OWNER'S NAmE/DBA
<br />06-5T Pc2(07- /9/Vd1071/405 - piv.4-5- / Pero 1
<br />MAILING ADDRESS TIME IN
<br />I ., 2.1.-- i'1 "•"•-•
<br />PEFimiTiLICENSE PROGRAM/ELEMENT
<br />3(0 '1 ( / 3(Q. ii
<br />SERVICE i
<br />ROLA-I e\C
<br />TIME OUT I
<br />RATE OF FLOW
<br />//05PA1
<br />PH
<br />-7.2 7..1
<br />CL
<br />Pont- 7.6-ppi-A-re 6)
<br />TEMP OTHER
<br />6-1 A.,,,. ri c aL, A_1 w(.
<br />. 6. RECIRCULATION EQUIPMENT 1 SIR OpErl
<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 />11 12
<br />13 14
<br />15. 16
<br />17. 18
<br />19.
<br />o
<br />ip—
<br />0 0
<br />op cc
<br />/— cr)
<br />Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />W 20
<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 />271 28.
<br />29' 30,
<br />31; 32 .
<br />34. 35
<br />36' 37
<br />38 39
<br />40. 41
<br />42, 43
<br />1 jJ)
<br />0 It
<br />(.1 0
<br />cco
<br />CC
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44, 45
<br />46 47
<br />48; 49 POOL QUALITY Chlorine
<br />pil
<br />Cyanurales
<br />Clarify
<br />Test Kits
<br />50
<br />51•
<br />
<br />
<br />
<br />cr ul
<br />I
<br />',3
<br />Suoeortslon d Control
<br />General Sanitation
<br />Miscellaneous
<br />,---_
<br />56
<br />57.
<br />E
<br />POOL
<br />58 _
<br />STATUS:
<br />G
<br />59
<br />1-
<br />(MARK
<br />F
<br />60
<br />ONE)
<br />P
<br />61
<br />C
<br />62
<br />/0 • /00/
<br />OUT"- g r5-1
<br />°HS -F.H • .7 (FIR5T
<br />The marked items represent Health Code violations and must be correctei as
<br />to
<br />/. 0 1/40 (C-4,7-44frit..)
<br />1:)14k/c 61144'7R/6Z. Li Z (-7 rc, S-7-
<br />4 qitec EeoSio,t)
<br />fifoa-
<br />, 6) ben, In 0,1,1 si-ocAps (.c.Aci.I,A,.s -Gf- -1-1., 3 4 &odati) 1 (
<br />DA'A reLt s For Free. -1--to,gmer) 4_11bri,le_ pH 1
<br />avt44 Y14.01-t-kAy LI GtfiA r l' C- c4C 'k(1 , S 4-a f ( i.--k JA"\eil a-1-e] ,
<br />-* Soe O vut -I-9 kl4L4K+ 17.4..1(e- ref-4.144(r I-04e, f o6(
<br />pet Sert)(‘ce rinPA
<br />
<br />M. Te<s+ j(4-- wt,tcl- 1,)e ck DPO —1-y
<br />0 -Ilk() -F; ffer a,c1 e-rOcis 011 Cl/dor-I/le ceC_Ciei l'iLt5 5(a
<br />leclKS A+ 1./dcg in,i--1- rp by (,)/(0762,
<br />fo,:t1 Arect
<br />M (c..,,eA citlor'i kte is c, 1 i+fte. i ak a+• re , - , ., Sitoc_k_
<br />+8 ir,LAJer loc-ID,-,) . Lit -.. (ril-rec4 igy (4)/02. rocA
<br />416 Li coa Ltr Lc etc...j [tvel (...34,s__12.)eA l over I Aolopfr, • Acts-1-
<br />clrak. ap e to of needed li) I<t-to leori rot pri'4 -1-e(y
<br />lbe,10(_„0 /y . r PO —, Co r y ec-4- 6 1,01171e:A _
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<br />pr.T. m T C LIST
<br />PAGE r OF j
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