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SAN JOAQUIN COUNTY HEALTH SERVICES ENVIR.—MENTAL HEALTH DIVISION <br />1601 East Hazelton Ave., P.O. Box 2009, Stockton, CA 95201, (209) 468-3420 Fee <br />Area <br />SWIMMING POOL PLAN APPROVAL FORM Sweep # <br />Local# <br />t)1(0.16t?c, taho-,11 -17161) I'Va4e, M'/,)//1- 571/2 <br /> <br />Prog/Elem <br />Const:New Remod <br />Project Name Address/City/Zif, Date Submitted <br />J95-e8 ), 4.144 63-e (;1-0 /4 (2,4 / zy, <br />Owner/Developer Address/City/Zip <br /> <br />-7-50 0 <br />Phone <br /> <br />Billing Name Address/City/Zip Operator Phone <br />Wd 5 Coea oke, Z.03,6. /37// <br />Pool Contractor Address/City/Zip Contact Person Phone <br />Pool(360)pa(30) Wading(60) Other ;Apt COA HOA Inn Sch Muni Club <br />Pool Gals. ‘.50, 00() ; Flow Rategil GPM; Pool Sq.Ft./950 ; Occupant Load :L <br />Plans for the above have been reviewed by E.H.D. under the provisions of the California <br />Health and Safety Code and the California Code of Regulations relating to Swimming Pools and <br />are: <br />Approved <br />L///' Approved, subject to incorporating changes in the plans as noted under remarks. <br />Disapproved. Resubmit three sets of new plans plus one rejected set. <br />Remarks: 52e -a-6,4i a 446--1-. <br />Registere nmental Health Specialist - Date <br />Approval of these plans extends only to that which is shown on the plans submitted <br />and described hereon, but does not authorize or approve any omission or deviation of <br />requirements of State Law, local ordinances or codes. Any changes must be acknowledged <br />in writing. <br />Contractor shall contact this office for purpose of arranging pre-gunite and pre- <br />plaster inspections of the pool at least 48 hours in advance of the inspection. <br />The following items must be completely installed and ready to operate prior to the pre- <br />plaster inspection: Showers, Dressing Facilities, Toilets, and Drinking Fountains (if <br />required); Decks, Fences, Gates, all Deck and Floor Drains, all Pool Equipment, Spa <br />Emergency Shut-off Switches, and all Ground Fault Interrupters (GFI)(if required). <br />Contractor shall; notify this office of the completion of the work at least 48 hours <br />in advance of placing the pool in operation for a final inspection as required by <br />Section 65511, Title 22, California Code of Regulations. <br />Please contact b a ve Vo-che , Phone (209) 468- 9•3 .3 <br /> <br />EH 04 02 Rev 5/89 (50)