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S IMM1:s G POOL OFFICIAL- INSPECTION- REPORT
<br />SAN JOAO'N COUNTY PUBLIC HEALTH SET -ICES
<br />EN .AONMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />FILE COPY
<br />BUSINESS ADDRESS
<br />- 4 ti6C )EST. 4i
<br />DATE ,
<br />W314-3 COMPu ER UMBER OWNER'S NAME,DBA
<br />06-5T Po (iv; (9030w-4i-05
<br />mAILINGACC,'RESS TIME IN
<br />-,--
<br />PERMiTNACENSE PROGRAMI ELEMENT SERVICE i
<br />Rc-c
<br />TIME OUT l
<br />RATE OF FLOW
<br />/105N1
<br />PH -7,2 ppa I
<br />CL.-
<br />Pod— 7.(rj",) ...,Vee..)
<br />_ F
<br />TEMP OTHER
<br />61.61‘t..14.^ of.,(1 -1 .101
<br />. — (DA, 6. RECIRCULATION EQUIPMENT I SIR OPER
<br />Fillers
<br />Pumps
<br />Chlorinator
<br />Fiowmeter
<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:
<br />2 0
<br />i;---
<br />0 ° 0 D cc
<br />I— tn
<br />Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21 ' . 22
<br />23 24
<br />25 . 26, SAFETY EQUIPMENT i Resure 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 />271 28 .
<br />29 30,
<br />31 32'
<br />WZ/4.33
<br />34' 35
<br />36' 37
<br />38 39
<br />40. 41
<br />42, 43
<br />Co
<br />17)
<br />LAI O
<br />LEO
<br />Cr
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44 i 45
<br />461 47
<br />48; 49. POOL QUALITY Chlorine
<br />ph
<br />Cyanurates
<br />Clarity
<br />Teat Kits
<br />50
<br />51
<br />52:
<br />53 ,
<br />
<br />cr uf
<br />I i--
<br />0
<br />SuPervision 6 Control
<br />General Sanitation
<br />Miscellaneous
<br />
<br />56 I
<br />57:
<br />E
<br />POOL
<br />58
<br />STATUS:
<br />G
<br />59
<br />1 1
<br />(MARK
<br />F
<br />60
<br />I 1
<br />ONE)
<br />P
<br />61
<br />C
<br />62
<br />I
<br /> t
<br />IL? ' MO I
<br />enCr - g tp5-1
<br />0", l'-.11, • 0T. ,F,R51
<br />—I
<br />The marked items represent Health Code violations and must be corrected, as
<br />to
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<br />rex-if:11T , I-04e, f * SO1fri-e. 614_ e 0 Vt-S-Ctf i'pti,‘ -I- -1--itiCe.
<br />sence 144y0,_ Pt 04- Tes+ i<:+- i.i.,<,ct 1) e A DPI) - 4,1 Pet ' 7
<br />0 -rite Fr [fel' ad efos.;NA cici0l 2i.4e --recriel- ,s Stow
<br />teckles At i g t ro ' r-- (.4. (0 03
<br />foal Arect
<br />ictecl ,itlar-qe is 0, itifi ki-,,at, A-4- . f ,-„ ,t
<br />+8 tt0er k elo 1—.) . 4111 Li-re GI licr f pci.
<br />Ariel Letiel L„...3a$ Lk) e-t t _aver De. Mks+ 1c1 ,-1.Lis-ic
<br />dra-P4 apropri`Al-p( af neiiried ID 1<cre Ift)P_I rOt
<br />i 0 Oty — , Correc;--1- loy tp/17/o.t
<br />RECEIVED BT",,
<br />in
<br />Fr el . , ,e
<br />PAGE ,
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