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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQI"N COUNTY PUBLIC HEALTH SEP —TCES
<br />.ONMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS ,
<br />(etk2L) it) 1(X.--ci- 1-0-w‘
<br />DATE
<br />>- 3 --C'S
<br />OWNER'S NANE/DBA
<br />06-r Poi kiii - 4PrS "1"--
<br />COMPUTER NUMBER
<br />MAILING ADDRESS TIME IN
<br />PERMiTi LICENSE PROGRAM i ELEMENT
<br />/0 /
<br />SERVICE TIME OUT
<br />RATE OF OF FLOW iPI ZA;p5i
<br />atz,,:&vi od-tr. a.
<br />pH CL-
<br />7, c.... / (co. 02
<br />TEMP OTHER
<br />d ili,;-11 3 z-') RECIRCULATION EQUIPMENT I STR OPER
<br />Fillers
<br />Pumps
<br />Chlorinator
<br />Flowmeler
<br />Gauges
<br />Skimmer & Gutters
<br />Back Flow Prevention
<br />Waste Water Prevention
<br />Water Supply & Duality
<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 />M20
<br />WA CON- I STRUCTION1 Pool Shell
<br />Bottom & Sides
<br />Decking 8, Coping
<br />Diving Boards
<br />21' . 22
<br />23 24
<br />25 26. SAFETY EQUIPMENT I Assure Pole
<br />Life Rings
<br />Safety Signs
<br />Uleguard
<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 />/7/033
<br />34, 35
<br />36' 37
<br />38 39
<br />40: 41
<br />42, 43
<br />tr) --2
<br />(1,20
<br />EEO
<br />CC
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />441 45
<br />46 47
<br />48; 49.
<br />>- _0_
<br />0:1 o<
<br />CL D 0
<br />Chlorine
<br />pH
<br />Cyanurates
<br />Clarity
<br />Test Kits
<br />50
<br />
<br />
<br />53 ,
<br />
<br />cr
<br />1.11
<br />X I- o
<br />Suoervoslon & Control
<br />General Sanitation
<br />Miscellaneous
<br />
<br />56
<br />57,
<br />E
<br />POOL
<br />58 n
<br />STATUS:
<br />G
<br />59 —
<br />(MARK
<br />F n
<br />60
<br />ONE)
<br />p H
<br />61
<br />c
<br />62
<br />HS.)-4 • 02 (A/W
<br />The marked items represent Health Code violations and must be corrected, as
<br />follows:
<br />--7' ilt) W Pc:10),j
<br />0/4/11-, Lz-Liti.6.1 2 /L P , ,,i rii p /1-7 z,7-2_,,t.
<br />ty ,9-14 -7-)fry,446 — S ti.7- (._ °/". '"1415-76
<br />ilv-01 4)434-44ed j, I 6 o if k P -3'c.;.
<br />Poo A Y/914f-b ---- I- A161),1-tj Res'ci
<br />(I) I , IV 544,4 J..) /9 len h4 0 zeg - I-1 ": 2 21p5 i /2,1k i l:... --./..c.4.5/7#: fil P5i
<br />ro P/5icekx-t& TO le> psi c:3
<br />6) No ppril s'Lie-ffte6 mp-PKozS, S-491)).-9 •pepr/74
<br />ikroFee-TokS 0. A) D.,x. 13 3"" roc-. / P fq- eorv nrc #51-'11/&'
<br />e-/-0L0R. i,,,) 7... /7-Cc3
<br />(7) -kEE ey.).44kflf, iel r I , Gpism 411,45‹ Poo), AfPe-trijr/ I--
<br />/0,0 ..gR“ (ita,c,A( /04- i S detRe-oc A I
<br />13GTP.)14-1 CS- 1.661-
<br />R6 P171,z 81 1-T-.-R 4-1vi i me ousgl Pow_ 557-7zn-f To c.z.nt") eel
<br />C.,,,-,z7CEIVED 8 :
<br />j—t c71/..-....• '—
<br />ElPft 1 1ST
<br />E
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