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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAO' 'NI COUNTY PUBLIC HEALTH SEW 7TCES
<br />EN N .ONMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />6 c/ 65- k 1-.0 51- 1,13-A,
<br />DATE
<br />OWNER'S NAME,OBA
<br />a)e--1- ig7/4)( A Pf9k))3'e/4/7
<br />COMPUTER NUMBER
<br />MAILING AGORESS TIME IN
<br />/ 2; 3c3
<br />PERMiT/LICENSE PROGRAM/ELEMENT
<br />1
<br />,
<br />10 360 S? 3 "36 i -2
<br />SERVICE
<br />L,)---)4...,‘
<br />TIME OUT „
<br />A-A-60
<br />RATE OF FLOW
<br />-2-i-) Cc pill
<br />alit,
<br />1Y-4 (C) 7, C) 0
<br />CL-
<br />(D.
<br />TEMP OTHER /
<br />7'
<br />0/z_) RECIRCULATION EQUIPMENT STIR OPER
<br />Fillers
<br />Pumps
<br />Chlorinator
<br />Flowmeter
<br />Gauges
<br />Skimmer 8, 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 : V / CON- STRUCTIO 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 I Nature Pole
<br />Lite Rings
<br />Sagely 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 />M33
<br />34, 35
<br />36' 37
<br />38 39 i
<br />40: 41
<br />42, 43
<br />tI) 1-2
<br />(To cc°
<br />CC
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44, 45
<br />46 47
<br />48, 49.
<br />r ...,,_
<br />o:: 0.4(
<br />a..7 0
<br />Chlorine
<br />pH
<br />Cyanurales
<br />Clarity
<br />Test Kits
<br />50
<br />51•
<br />52
<br />53.
<br />
<br />CC ut I I-0
<br />Supervision & 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 n
<br />ONE)
<br />P
<br />61
<br />C
<br />62
<br />/&)
<br />6, 14 r i 2
<br />01.-,, 7,41 • .2 Igil
<br />The marked items represent Health Code violations and must be corrected, as
<br />follows:
<br />. 5 5114
<br />' 6- 01 6.12...(, iczi j .5/74-4T ,•-f- 5- ti, ,. -T-c, (7 / d 0 1-.' 6 R 6 R. c: 6 5
<br />I /I- ‘)
<br />I ,Nt-- .- k I,, i 5. /9/3 i-Xj I 141 iti6 7, fht 7- 6 4, R ;'1 7
<br />CD il 4 f ifi--)' k )4, )--- )-,00
<br />/'/Piii ,'-' Ri9th S---() eekt /111e1,1/) i /9 7-6 Ay i
<br />(-06 , IZ p..., , _ ,,,_,6 _ c_.*' 6 PiJi( c --"t_s 7--z --oz ,/ _ , )
<br />Atlit-76-(- (f41
<br />6-j‘ e 14,61,z i iv-- ---/r90 t,Oct)v-
<br />, fk-& dtiKiAlti)(-- 're) f: 5-- to,...0 k ilit. ic-6.
<br />r"-- 1.'-'1)°P e 0 ct- i A (.1)6 6 c? (i i.c) A 1 AJc— 70 2 2(1
<br />1 Hp 0(.4iti7lt n 'n Ai' 1- / ,-/P 0 61v i(tP 1 Iii-t;
<br />Ai illA r-r)-)- q ,cr
<br />4 /4 IM5 4 1 7-- -.- k-k---,,2 -IL.
<br />-3()).,5/ #.6 zo i ge-- c K)cili> O 6 /9--R-r ,1 ,
<br />'/-7t,) ) iiiivt Vi) '/4-Ttj ,
<br />,
<br />-,
<br />ille
<br />L— f •
<br />DIVI TAI. II TN SPE LIST
<br />G / OF /
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