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SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> SAN JOAQT COUNTY PUBLIC HEALTH SER 'ES <br /> ENV, „JNMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON, CA 95202 <br /> (209) 468-3420 <br /> BUSINESS AODRESS OA E <br /> b <br /> OWNER'S NAMF,J.BB tl COMPUTER NUMBER <br /> MAILING AQ0RftSS TIME IN <br /> PERMITILICENSE PROGRAMMIEELEEMENT VICE TIME OUT <br /> A4 V'.' <br /> PATE OF FL pH CLI O JUT TEMP OTHER pp” <br /> 0A yy- <br /> SIR OPER The marked items represent Health Code violations and must be correctel as <br /> w Fitters 1 2 follows: <br /> Pumps 3 4 I ' <br /> LL <br /> D Cnbnnator 5 6 A <br /> wFfowmeler 7 8 I r <br /> Z Gauges 9' 10 <br /> O <br /> 1- Skimmer s Gutters 11 12 <br /> a <br /> Back Flow Prevention 13 14 — ✓ <br /> O Waste Water Prevention 15i 16 <br /> w¢ Ip <br /> Water Supply d Quality 17 181 r <br /> ¢ Pipe d Fittings 19 <br /> O Pool Snell 20 .(„ 61A, <br /> i1- Bottom d Sitles 21'. 22 1n <br /> U2 Decking&Coping 23 24 1(-- <br /> 1- Diving Boards 25 26; <br /> Resure Pole 271 28: <br /> Z Lite Rings 29' 30. O <br /> Safety Signa 31 32' / <br /> a Lifeguard 33: <br /> o Lighting Elec. 34! 35 <br /> Ladders 36 37w <br /> LL Depth Markers 38 39' <br /> N First Altl Kits 40� 41 <br /> Gea Meeks 42 43 <br /> FWw <br /> shoera 44 45 <br /> QOO Toilet d Dressing 46 47 <br /> ¢ ventilation 48; 49: <br /> Chlorine 50 <br /> _Z pH 51' <br /> 00< Cyanurates 52 tCAi <br /> as Clarity 53, - <br /> Teat Kits 54' <br /> ¢ Suoervulon a Control 55f <br /> w <br /> x General Samiauon 56 <br /> I- - <br /> O Miscellaneous 57, <br /> POOL STATUS: (MARK ONE) <br /> 58 59 60 61 62 <br /> E ❑ G ❑ F 1 (1 P [] Cr <br /> IVEQ BY <br /> IVllw/A•n—�R' \/\'`_/IAg/./�1 v AL xFu.x cuu t <br /> rFfi51 <br /> PAGE OF <br />