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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQT -N COUNTY PUBLIC HEALTH SEP" CES <br />ENN ..ONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS DATE <br />OWNER'S NAMEtOBA COMPUTER NUMBER <br />MAILING ADDRESS TIME IN <br />PERmiTtLiCENSE PROGRAM/ELEMENT SERVICE TIME OUT <br />RATE OF FLOW PH <br />_ <br />CL TEMP OTHER <br />t--- <br />SIR OPEN <br />Z LA, <br />a_ <br />5 o w <br />z 0 <br />t7-- a <br />--, D <br />0 cc <br />(7..) LL, <br />cc <br />Filters <br />Pumps <br />Chlorinator <br />Flowmeter <br />Gauges <br />Skimmer & Guiters <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 />2 o <br />i•-= <br />0 0 D cc <br />I CO <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 1 Fissure Pole <br />Life Rings <br />Safety Signs <br />Lifeguard <br />Lighting Elec. <br />Ladders <br />Depth Markers <br />First Aid Kits <br />Gas Masks <br />27i 28 , <br />29 30, <br />31 32' <br />% A 33 <br />34, 1 35 <br />36 37 <br />38 39 <br />40: 41. <br />42, 43 <br />r <br />' cri <br />It7.) 1.w o Imo ; f.r <br />Showers <br />Toilet & Dressing <br />Ventilation <br />44, 45 <br />461 47 <br />48; 49. POOL QUALITY I Chlorine <br />pH <br />Cyanurates <br />Clarity <br />Test Kits <br />50 <br />51• <br />52 <br />53 , <br />54' <br />cc <br />ul <br />I I- <br />0 <br />Suoenrtslon & Control <br />General Sanitation <br />Miscellaneous <br />55! <br />56 <br />57; o <br />E <br />POOL <br />58 <br />STATUS: <br />G <br />59 n <br />(MARK <br />F <br />60 <br />ONE) <br />P <br />61 <br />ri c <br />62 n <br />:17, <br />The marked items represent Health Code violations and must be corrected., as <br />follows: <br />RECEIVED 131' <br />ENVIRONMENTAL NEALTR 5PECIALLST <br />PAGE OF