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JtVVLiV11V11.\lam YUVr<_ vi,`.i.a:L._. 1: 01 L,,- Liu,, ru:Yvao,i <br />SAN JOAQUIN COl'NTY PUBLIC HEALTH SERV11-'ES <br />ENVI. NNIENTAL HEALTH DIVISION <br />304'IAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, C; 95202 <br />(209) 468-1420 <br />m <br />tollOWs: <br />STR OYER <br />C9_l ` trM/L 7 <br />UArE <br />BUSINESS ADDRESS <br />ii, A,ttelU <br />ZFillele <br />W <br />L, rL241Nc <br />!2 N,*Yy h` CFS' 0-1/C <br />1 <br />2 <br />3 <br />4 <br />I <br />Pumps <br />OWNER'S NAME I OBa <br />,r) <br />Chlorinator <br />r Cer-n'�. <br />PDA <br />6 <br />COMPUTER NUMBER <br />t`ny� fDr <br />Q <br />7 <br />8 <br />iO Z <br />Gauges <br />MAILING ADDRESS <br />9' <br />10 <br />11 <br />;SEHYI;CE <br />TMEIN <br />y <br />PEAMITIUCENSE <br />a <br />� <br />Back Flow Prevention <br />PHOGRAMIELEMENT <br />TIME UUT <br />�t-t <br />RATE OF,P40W (7 ri- PH <br />huu t <br />—7. CL' <br />�..)tA 0 �� <br />TEMP <br />1 . <br />- <br />_ /.0 <br />U <br />Water Supply & Quality <br />m <br />The marked items represent Health Code violations and must be correctttt, as <br />tollOWs: <br />STR OYER <br />C9_l ` trM/L 7 <br />1 <br />ii, A,ttelU <br />ZFillele <br />W <br />L, rL241Nc <br />!2 N,*Yy h` CFS' 0-1/C <br />1 <br />2 <br />3 <br />4 <br />I <br />Pumps <br />=I <br />Chlorinator <br />5, <br />6 <br />Ow <br />Flowmeter <br />7 <br />8 <br />iO Z <br />Gauges <br />p l- Y1Lu l/ <br />9' <br />10 <br />11 <br />12 <br />I- <br />Skimmer 6 Guuels <br />a <br />� <br />Back Flow Prevention <br />++'' <br />13 <br />14 <br />15. <br />16 <br />O <br />Waste Water Preventlon <br />17. <br />18LU. <br />U <br />Water Supply & Quality <br />¢ <br />Pipe 6 Fittings <br />19. <br />O, <br />Pool Shell <br />20 <br />21 <br />22 <br />Zr <br />Bottom a wars <br />00 <br />Decking d coping <br />23 <br />24 n <br />I- <br />DINng Boaras <br />25 <br />26. <br />Results Pate <br />271 <br />28 <br />29' <br />30. <br />= <br />Llie Rings <br />31 i <br />32 <br />Salely signs <br />33 <br />Lifeguard <br />O <br />'w <br />Lighting Elec. <br />34' <br />35 <br />G� <br />Laaaere <br />3 <br />37 Il <br />36 <br />39 <br />LL <br />Depth Markers <br />40 <br />41 <br />a <br />N <br />First Ala Kits <br />42, <br />43 <br />Nfyy <br />Gas Masks <br />showers <br />441 <br />4$ <br />46' <br />47 <br />WO <br />Toiler & Dressing <br />¢¢ <br />Ventilation <br />148i <br />49. <br />Chlorine <br />50 <br />�r <br />pH <br />51 <br />00< <br />Cyanufates <br />52. <br />a0 <br />Clarity <br />5& <br />Test Kits <br />54' <br />¢ <br />Su",.Ion a control <br />55' <br />w <br />x <br />General sanitation <br />5fi j <br />O <br />ktlsceganeouii <br />157, <br />POOL STATUS: (MARK ONE) <br />'I� D 60 <br />� E G F <br />Cl <br />61 <br />P <br />C <br />D <br />1 �^ <br />19 <br />oyc .0 .q. 15n✓il <br />7 <br />The marked items represent Health Code violations and must be correctttt, as <br />tollOWs: <br />C9_l ` trM/L 7 <br />1 <br />ii, A,ttelU <br />� JDu`K\Qu'�� �k, ti4A SV.::,r Ir. <br />L, rL241Nc <br />!2 N,*Yy h` CFS' 0-1/C <br />I <br />1'V ; -t <br />Iktil �77�a ni�LC v!*Ari.@ <br />-t Ytl✓°r <br />C (V�✓ <br />Ile <br />L _ 'IUG" Ifs <br />1 <br />(I <br />-11 <br />p l- Y1Lu l/ <br />i v otic <br />12, <br />1 I <br />(•'� '1 'l tt•`Y..(�.Fi''111T)"t'Til9 <br />++'' <br />lk <br />tt <br />RECEIVED uY ' <br />PAGE =F J <br />