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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQI -N COUNTY PUBLIC HEALTH SEF -CES
<br />ENA, —ONIVIENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />ES 7- 4 I3,
<br />DATE
<br />OWNER'S NAME ,DBA
<br />GI 7-6 /4 P Fs' Pi-J1)-5E- -I-7-
<br />COMPUTER NUMBER
<br />—
<br />MAILING ADDRESS TIME IN
<br />/or ,-.(0 ,
<br />PERMIT /LICENSE
<br />P OO s-- 7 I
<br />PROGRAM/ELEMENT
<br />3 (,-, / z_
<br />SERVICE
<br />RE._ --
<br />TIME OUT //:--
<br />RATE OF FLOW
<br />8 5 c, POI
<br />PH
<br />1.- €5 5 THfiC ) 7'()
<br />CL
<br />.
<br /> 'eY-- firA2/5
<br />TEMP OTHER RECIRCULATION EQUIPMENT I SIR OPEN
<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, i CC;-T---,i-TRUCTIO Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />M 20
<br />21. . 22
<br />23 24
<br />25, 26. SAFETY EQUIPMENT 1 Fissure Pole
<br />Life Flings
<br />Safety 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 />A 33
<br />34, 35
<br />36' 37
<br />38 39
<br />40: 41,
<br />42, 43
<br />0 i-s u.)--w o crO
<br />CC
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44 1 45
<br />46 47
<br />48 i 49. POOL QUALITY Chlorine 50
<br />pH 51.
<br />Cyanurales 52
<br />Clarity 53 ,
<br />Test Kits
<br />CC
<br /> 54 .
<br />Li, Supervision & Control 55'
<br />I General Sanitation 56
<br />C3 Miscellaneous 57,
<br />E
<br />POOL
<br />58
<br />STATUS:
<br />G
<br />59
<br />(MARK
<br />P
<br />60
<br />ri
<br />ONE)
<br />P
<br />61
<br />C
<br />62
<br />f OV 2-c7
<br />oys =IA • ck2 (A./45)
<br />The marked items represent Health Code violations and must be correctert, as
<br />follows:
<br />---- /0/7/7)- 5. 6 Z.1 73(.--
<br />iti 12 TL, /1/6-1:4) S. il--Ni...5
<br />/ rT /4 P 8z, s" PI I T/" A • (MP /19‘5727,2
<br />/ 1
<br />63i <-) /My/43 il-t1 '' Ale-4-3 fri L 5 36 c sift 5-"pi_D y / 4 ro
<br />Th-44-- le IP Ai i3 c ),._< 5 (D()
<br />() DiZ I r) A-r- fiwcA.) V/3-tut, .5'7P PRIP 1440-1A,k71
<br />(A) i R(. & IV i> Ai 7- d_ tz a IA_ H.i.'-N 7z> E1P2 71-7.- ,
<br />P R (-CT
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<br />t -7)1-- 14- A,' I) hit,' 7-R Cr e r 311:1---0-c----R5 TO g "Ls- 6-__ On
<br />i i^ 5 p iz r 0 k.. 'lb
<br />/7` / 6- /7, .eli- /CO ^ p pi i---- /
<br />f° Q. e 7 1 LoRt Ai& ,c / , 5- -
<br />Ktc,P n /Lose_ .6 Li IL. ;-• (k 7771 , 5 Rn-Afe_:,- (5
<br />50. P 171 Too 1,6) EL) ( 0) R il- i 5 6__. IN7`
<br />To- 7 ).. it 8,oR6-AK....-C 1 bkr p1,266/1,Liel-d..--
<br />------ dif I-2- V' K (1:(, i tt; s (v e ricti) i)i( /0 A' 10 OP6-1{; i/v6 —
<br />\NN RECEIVED BY:
<br />i----Q9—'—
<br />Eavt I /yAL NEALTir...___
<br />PA, I OF /
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