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SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> SAN JOA( N COUNTY PUBLIC HEALTH SI 'ICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON, CA 95202 <br /> (209) 468-3420 <br /> BUSINESS ADDRESS DATE <br /> 3 E_. I? ZL <br /> OWNER'S NAME I08A l- I COMPUTER NMBER <br /> MAILING ADDRESS TIME IN <br /> PERMIT/LICENSE PROGRAMIELEMENT SERVICE TIME OUT <br /> RATE OF FLOW pH CL- TEMP OTHER <br /> STA] OPER The marked items represent Health Code violations and must be corrector)as <br /> Z Fillers 2 follows: <br /> W <br /> a Pumps // 1 3 4 / J <br /> Chlorinalor5 5, 6 q <br /> Lu Flowmeter ��`�� 7 8 <br /> Z Gauges O q,.1 ,.Olt 9' 10 V - <br /> O �t <br /> l- Skimmer&Gutters 11 12 J Zit <br /> 1, 1 qr f <br /> -j Back Flow Prevention O,"p1�D 13 14 �^ S I,.�y� — r wap— ' -�111731fDOM b%ye 1 fit y1- 14- - <br /> QWaste Water Prevention !r� 15' 16 f <br /> w Water supply d Ouaflty 17; 18. ► C�u G I <br /> Cr Pipe d Fittings 19. L <br /> z Pool Shell 20 eT LO 11AJ IDI kNrh P <br /> Z V Bottom d Sides 21; 22 <br /> OQ Decking 3 Coping 23 24 <br /> Diving Boards 25 26 <br /> Reeure Pole27! 28 I Y1 r l'W <br /> z Life Rings 29' 30; <br /> Safety Signs 31'; 32' Pc J 2 5 . to� - l y � l <br /> Lifeguard 33 <br /> if <br /> ! o Lighting Elec. 34 35 0 r� <br /> Laoders 36' 37 II ` l <br /> LU Depth Markers 38 39' 4 rola �AV1? 40 Pi 1 vi- <br /> Cl'i E' /���e �S ✓ L�°G <br /> N First Aid Kits 40 41 <br /> Gas Masks 42 43 Z �H O u f f 6 ' (J GC e r Q— 41 C/o <br /> 01 Showers 44 45 <br /> WO Toilet d Dressing 46- 47 pie � <br /> ¢Q ventilation 48; 49. <br /> Chlorine 50 oiipr Jep+� v? i , <br /> pH 51' <br /> 0< CYanuratea 52: V� <br /> aQ Clarity 531 <br /> Test Kos 54: t? <br /> a: Supervision a control 1r,5. , <br /> w 1 (r I W <br /> Z General Sanitation 5G I ! t 1 '" r a G �� el <br /> � r <br /> O Miscellaneous 57. p <br /> POOL STATUS: (MARK ONE) 4 E J 6 eF I�•o <br /> 58 59 60 61 62 . . C <br /> E ❑ G ❑ Fa P C❑ I <br /> �C -40, �� � Sum j REC IV D aY: <br /> � li n Le�.k e � �J O �J CGi-� ��'� ��31- SO�l q r / ��✓ �i'llj,f� <br /> -.auLra�r[t:tALtsT <br /> fG1 � i <br /> PHS-EH 192113198) i PAGE OF <br />