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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQ 1 COUNTY PUBLIC HEALTH SEI CES
<br />ENVIRONMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />r fe Lt (OK- WeAS+ /A,()
<br />DATE
<br />4! licd
<br />OWNERS NAME 'DOA
<br />/4 PlIaSC 2 ---c ..._ - NE 1)+4 ra_
<br />MAILING ACOREV)es4
<br />- f ot,14-e•
<br />COMP TER NUMBER
<br />TIME IN
<br />PERMIT/LICENSE PROGRAM / ELEMENT SERVICE
<br />7
<br />(
<br />TIME OUT
<br />RATE OF FLOW PH
<br />214
<br />CL
<br />f-ree_- 0...2 p.
<br />TEMP
<br />/W .
<br />OTHER
<br />Lifet — /% 106 pf,-.
<br />— RECIRCULATION EQUIPMENT I SIR OPER
<br />Fillers
<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 L 18.
<br />19 STRUCTIO Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />M 20
<br />21. . 22
<br />23 24
<br />25 26. SAFETY EQUIPMENT Resure Pole
<br />Life Rings
<br />Safety Signs
<br />Llleguard
<br />Lighting Elec.
<br />Ladders
<br />Depth Markers
<br />First Aid Kit,
<br />Gas Masks
<br />271 28.
<br />29 30.
<br />31 32 .
<br />r/ A 33
<br />34, 35
<br />36' 37
<br />38 39
<br />40: 41
<br />42, 43
<br />0 t-2
<br />ffjo ccO cc
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44, 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 U 1
<br />I
<br />'6
<br />Suoerrtsion & Control
<br />General Sanitation
<br />Miscellaneous
<br /> .--- 56
<br />57.
<br />E
<br />POOL
<br />58
<br />STATUS:
<br />G
<br />59
<br />(MARK
<br />F ri
<br />60
<br />ONE)
<br />F n
<br />61
<br />C
<br />62 —
<br />;•-i-r- -1
<br />e.r.p- 7 ivc.vie
<br />n2 (;rw
<br />The marked items represeff Health Code violations and must be corrected, as
<br />follows:
<br />- 2Ltth 4 , iit),
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<br />6) /1/6 e-PRAA..e.-4 t° / •-• rel-UriA
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<br />Mud ot e pro
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<br />sQA For c rk koca-c, P(-k/ ,,usf Iv e o-t ciLtir'i
<br />ko,ts‘
<br />7
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<br />il yik..,4 ise,u.reil i 6„,,,41 4 F r,9,,,,,,L1
<br />L,re.,-.\- 1,:„.( (.11-Tio, 3 ,
<br />c_ Gracites cif 4ret over .(pc- C-44c-L4-16-1 • ,1464- 1m_
<br />4-r: i k-i- back g 0 S P., 1-1 Lw1e_ 1.orrec.4 io L/S/&2
<br />a 6 i ri-zy frt\--- kcji--7,-PE b r. nc .6447. --c.
<br />b'spex thiore recli -ar rree tit).
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<br />cel\ntoe_A c 1 I-1 °P, /are_
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<br />6
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<br />, T., !I , I- LIST
<br />PAGE F 2___
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