|
ENVIKONNIENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />(42Li (C.) We LAI/Le
<br />DATE
<br />c ...c 0
<br />OWNERS NATAE.D9 A . ,
<br />P k) 4; oo l
<br />COMP 'IS NU R
<br />mAiu.,,,,,,,,,,, TIME IN
<br />I is. 2 &
<br />pERMITiliCENSE PROGRAM/ELEMENT SERVICE Rep las-t-er
<br />TIME OUT
<br />RATE OF FLOW PH CL- TEMP OTHER RECIRCULATION EQUIPMENT 1 SIR OPER
<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 6
<br />9 . 10
<br />11 12
<br />13 14
<br />15! 16
<br />17, 18.
<br /> A 19;
<br />1:7/0120 ---E-07:17-STRUCTIO Pool Shell
<br />tiottom & Sides
<br />Decking & Coping
<br />Diving 8oards
<br />211 22
<br />23 24
<br />25 26. SAFETY EQUIPMENT 1 Resure Pole
<br />Life Rings
<br />Safety Signs
<br />Lifeguard
<br />Lighting Else.
<br />Ladders
<br />Depth Markers
<br />First Aid Kits
<br />Gas Masks
<br />27' 28
<br />29 30,
<br />31i 32
<br />WA 33
<br />34: 35 _....-,
<br />36' 37
<br />38 39
<br />40: 41 '
<br />42. 43
<br />ti) 1,--s
<br />cc 0 CC
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44 1 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 />CC
<br />tu
<br />I 1-- o
<br />SuOervision & Control
<br />General Sanitation
<br />Miscellaneous
<br />
<br />5(3
<br />51
<br />E
<br />POOL
<br />58
<br />STATUS:
<br />G
<br />59
<br />(MARK
<br />F
<br />60
<br />1PI
<br />ONE)
<br />61
<br />IC
<br />62
<br />o f.4..5.;11, • 0 2 :ar:ac
<br />1 The marked items represent Health Code violations and must be corrected- as
<br />follows:
<br />F; r IR b.(' 1-0 1.4S-104---
<br />0'-1-Ae ref1 tilea:, /Joliet- 1 s t-ielacrttfabk pror
<br />1)erottse 'IF doeno-I- sizele -t 1
<br />JAI_ Ac-4-;yi co ti 4,-,6--(-41D r- 4Te11' "((7'e ILI 7
<br />I.P — IA Ph4 or ff-N,c Z ,
<br />-X--- ai-. 0-1-11fr acCer6-A biP 14,04efiniCtLic ktipdp I
<br />66 2-16243i& -Pc,r ',0.--tk.-1 iit-R `f.i f- r-s. bulderi.Jtiet
<br />max '911)1-1 V ('IL- ce,k ) a 2W
<br />Er +L P ep/tpiPzor livie, (id C4 rna4 kCt"
<br />a vrri—lic;.- i'l- r ml Pr: Ri Art Yhr k3b-l0till ID- A4 .a
<br />lm- 1,7A lp vr 36 -(07 6 9 9F4 -r,'-Fr 4f- og &/0.-- 6 /6
<br />l iA,c,k S-S-r-4) 1/4-ifitAld li e o k r ed lu,fi spec A-Ay
<br />, me /4 ycIfb --411;t II Jiii--/ is tutu e_ 4 1,114 t.I`- 1
<br />e lb
<br />(6,4w+ -1-'1 le(' ‘(.-1Jjii e _et t P oe, 2A1,--ray,a,vi ,-,
<br />I" ii,(10 4-01" 'AAP,
<br />t)(7
<br />RECEI1EA_
<br />EleraiT,,AL itEALTlysrE
<br />—WC-14.1 /fr
<br />PAGE
|