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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQTT'N COUNTY PUBLIC HEALTH SEW --CES <br />ENN ONNIENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS <br />G2UG T—✓irm <br />O'S <br />giwKk DR1L)4c <br />OYER <br />DATE <br />G -3-o3 <br />OWNER'S NAME/ORA p/NF 5 <br />I Motf <br />Ifo�F <br />('RR <br />UJ <br />COMPUTER NUMBER <br />MAILING ADDRESS <br />4 <br />a <br />TIME IN <br />PERMIT I UCENSEp (,ozyo <br />r'( <br />D <br />Chlorinator <br />PROGRAMIELEMENT <br />SERVICE <br />TIME OUT <br />RATE OF FLOW <br />PH <br />(- <br />9 <br />CIL [^ 1 <br />TEMP <br />/ O <br />fRN <br />OiNER <br />61144- r P <br />12 <br />a <br />� <br />Back Flow Prevention <br />13 <br />14 <br />15. <br />16 <br />O <br />H <br />SIR <br />OYER <br />Z <br />Fillers <br />t <br />2 <br />UJ <br />Pumps <br />3 <br />4 <br />a <br />5 <br />6 <br />D <br />Chlorinator <br />Ow <br />Flowmeter <br />7 <br />8 <br />O Z <br />Gauges <br />9 <br />10 <br />I- <br />Skimmer & Gultem <br />11 <br />12 <br />a <br />� <br />Back Flow Prevention <br />13 <br />14 <br />15. <br />16 <br />O <br />Waste Water Prevention <br />17. <br />18. <br />U <br />Water Supply d Quality <br />JJ <br />Q <br />Pipe A Fillings <br />19. <br />O <br />Pool Shell <br />20 <br />21 <br />22 <br />Z'- <br />action, A Sides <br />OOQ <br />Decking A Coping <br />23 <br />24 <br />l- <br />Diving Boards <br />25 <br />M <br />R O <br />Rssure Pols <br />271 <br />28 <br />291 <br />To— <br />0iz <br />uls Rings <br />31 <br />32 <br />J.' <br />Safely Signs <br />33 <br />d <br />Lifeguard <br />O <br />Lighting Elec. <br />34' <br />35 <br />w <br />Z <br />Ladders <br />36 <br />37 <br />38 <br />39 <br />w <br />U- <br />Depth Markers <br />40. <br />41 <br />< <br />Wy <br />First Aid KITS <br />42, <br />43 <br />Gas Masks <br />F2 <br />Showers <br />44 <br />45 <br />461 <br />47 <br />Toilet A Dressing <br />LLDO <br />¢¢ <br />ventilation <br />48; <br />49. <br />Chlorine <br />50 <br />�Y <br />pH <br />51' <br />00< <br />Cysnurstee <br />52 <br />4'00 <br />Clarity <br />53, <br />Test Kits <br />54' <br />M <br />supervision A Control <br />55' <br />w <br />Z <br />General Sanitation <br />56 <br />O <br />1 Mlacellaneoua <br />57, <br />POOL STATUS: (MARK ONE) <br />58 61 <br />F] Ga F [] P11 ca <br />E <br />�OOI 1 <br />IIJ <br />g - <br />i�� <br />yc c a'xt <br />jb <br />ann I l <br />� <br />The marked items represent Health Code violations and must be correctej- as <br />follows: <br />bE <br />o rr I,S <br />s PO <br />g 6R <br />u/ <br />W O 121 <br />e <br />i <br />z 7.0 aiid <br />Ls loo w. Gil <br />H ?, 2 - <br />u% S- c�a <br />i <br />R S TRn.4 vallyais <br />We ✓� <br />N I <br />/ VI <br />r <br />r F e a61L <br />i c r <br />1' <br />fZeue--.� <br />`�n <br />` -✓ o <br />r —Cs an -Lie <br />e <br />R O <br />u » r cuuzr <br />PAGE F <br />