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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQTTTN COUNTY PUBLIC HEALTH SEF"TCES <br />ENI ONNIENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS Ca �UG TAwr v <br />_ <br />s/f�4. 7-eDArE F <br />STA <br />. <br />J_/ 2-G v <br />OWNER '$ NAMEIDBA <br />PIN( <br />Fillers <br />1 <br />COMPUTER NUMBER <br />TNF -5 <br />1tii)tP <br />a <br />Pumps <br />MAILING ADDRESS <br />6 <br />D <br />TIME IN <br />/z. 30 <br />PERMITIUCENSE <br />PRo 36(D /O <br />PROGRAMIELEMENT <br />3CIt <br />6 <br />VICE <br />SF, �VICE <br />TIME 07T <br />;Y 0 <br />RATE OF FLOWPH <br />25— <br />^ <br />/, <br />i l <br />CL <br />S,© <br />TEMP <br />�4. <br />OTNE <br />!�� <br />r <br />(�6 L <br />STA <br />OPER <br />Z <br />w <br />Fillers <br />1 <br />2 <br />3 <br />4 <br />a <br />Pumps <br />5 <br />6 <br />D <br />Chlorinator <br />QFlowmeter <br />7 <br />6 <br />= <br />O <br />Gauges <br />9 <br />10 <br />i l <br />12 <br />r <br />Skimmer & Gutters <br />a <br />-I <br />Back Flow Prevention <br />13 <br />14 <br />15- <br />16 <br />U <br />E <br />Waste Water Prevention <br />17. <br />18, <br />Water supply a Quality <br />Lu <br />Pipe 6 Fittings <br />19, <br />O <br />Pool shell <br />20 <br />21' <br />22 <br />;i <br />Bottom a Sides <br />00 <br />Decking d Coping <br />23 <br />24 <br />Diving Boards <br />Hul— <br />26 <br />Resurs Pole <br />271 <br />2B, <br />291 <br />30, <br />z <br />Life Rings <br />31 <br />32' <br />w <br />i <br />Safety Signa <br />33 <br />a <br />Lifeguard <br />O <br />Lighting Elea. <br />34' <br />35 <br />Ladders <br />36 <br />37 <br />38 <br />39 <br />LL <br />Depth Markers <br />40- <br />41 <br />N <br />First Aid Kits <br />42 <br />43 <br />Gas Masks <br />�W <br />Showers <br />44 <br />45 <br />46 <br />47 <br />01 <br />U,0 <br />Toilet d Dressing <br />¢M <br />Ventilation <br />48; <br />49. <br />Chlorine <br />50 <br />PH <br />51' <br />Oa <br />Cyanuraies <br />52: <br />o_a <br />Clarity <br />53 - <br />Test Kits <br />54' <br />Supenneion S Control <br />55' <br />U, <br />S <br />General Sanitation <br />56 <br />1 <br />O <br />Miscellaneous <br />57. <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E❑ G❑ F 1 P c <br />1 <br />©Lir / 3 <br />The marked items represent Health Code violations and must be correctel as <br />follows: <br />(�6 L <br />/n k(A-It/ <br />1 q7 1i53E2 I'OpL <br />)4 M R /c4 <br />Cyc-yy P40ij 4- / 3a' G <br />L• (44-ci T yGJ�I <br />R�I / <br />AOK.T„Lu <br />T/ `^L17/ 3'c s 47L'iIi— <br />R(0- Sr�rS <br />/3�Aur7 Lir s rfRKL7lU <br />REC B <br />L MEMII CUILlat <br />PAGE F ' <br />