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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQITTN COUNTY PUBLIC HEALTH SEP"ICES
<br />ENN _ONMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />6 C iv , euE-1 r 4 oxig-
<br />DATp-,
<br />-/--P3 -05/
<br />OWNER'S NAME/ DBA
<br />4}6-sr poov,----( 4PigaT-14-16,t);---s
<br />COMPUTElirjUmBER
<br />MAILING ADDRESS
<br />SERVICE
<br />TIME IN
<br />PERMITiliDENSE
<br /> 595-
<br />PROGRAM/ELEMENT
<br />.36 1/ kocAri iu,...-
<br />TIME OUT : co
<br />RATE OF FLOW
<br />67 i P121 3
<br />pH _,..
<br />/ 8
<br />CL.
<br />0. 6, ,
<br />TE
<br />- V
<br />OTHER
<br />).- G r1/4 I-- (---5 5 C 'MA RECIRCULATION EQUIPMENT SIR OPEN
<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 8
<br />9 10
<br />11 12
<br />13 14
<br />15! 16
<br />17, 18.
<br />19, CON- ts STRUCTIO Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />P,A 20
<br />21 . 22
<br />23 24
<br />25, 26' SAFETY EQUIPMENT I Rasura 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 />27 1 28'
<br />29' 30,
<br />311 32
<br /> 33
<br />34. 35
<br />36' 37
<br />38 39
<br />40: 41
<br />42, 43
<br />in $-..
<br />ujO
<br />cc0 cc
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44, 45
<br />4e 47
<br />48; 49. POOL 1 QUALITY i Chlorine
<br />PH
<br />Cyanurates
<br />Clarity
<br />Test Kits
<br />50
<br />
<br />
<br />53 ,
<br />
<br />cc ui
<br />I I-
<br />0
<br />Stioervimon & Control
<br />General Sanitation
<br />Miscellaneous
<br />
<br />56
<br />57.
<br />E
<br />POOL
<br />58
<br />STATUS:
<br />G ri
<br />59
<br />(MARK
<br />F ri
<br />60
<br />ONE)
<br />F n
<br />61
<br />c
<br />62
<br />)0
<br />0 CA i )9 4,,),
<br />oHc 7)4 • op rgol
<br />The marked items represent Health Code violations and must be corrected, as
<br />follows:
<br />pHI)56-o' it) E ' 501
<br />1 liz HP 0 e,v7-u A 1 t4J4f /14,97-0A -
<br />I /4 i3 0 1,:-/v rug fob F5 ,c67
<br />AMP Tiyt i S Z===> P- 5-Q De--
<br />Lim /Z5 lie--14-1 -k
<br />4 i Ai r3oc,) S /-4T 0)4 to4 ,x, ifro(S '--
<br />0 )30AiDliti& e. 0 ikk 9 ISec:64,6- e re- r) e Pe- fe.viuerr-
<br />.1-6.) er got, iu ;-/-) Soo Re 1 41 IhED fil- re-/--q
<br />(9 Etle-i246ite ,( -5 ,-,,c, -7- 0 if S 45.A) p5177,1AA (J ge-x•c-424?
<br />)\/ f) C-64- 7/4-T ic .0 1.?"14 0 Lie COO& 2 111)6_, felv,
<br />PM 1416,0 09 Z-41_,
<br />T /1'5 Th-,19/YR -7' 2
<br />14 0 fli-a -iitc. 1-0c2) , 57/oeK vt-
<br />T-Q.3 ift ‘)---- /0,0 kiihUG--&) , 114 144P-:P / 6 rC-#4,1 1
<br />/ --)
<br />I ED BY
<br />ten • T
<br />GE
<br />NEAL CIALIST
<br />, OF (
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