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SWI POOL OFFICIAL INSPECTIO ORT <br />SAN J�QUIN COUNTY PUBLIC HEALT RVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009, STOCKTON, CA 95201 <br />BUSINESS ADDRESS <br />ff II <br />DATE <br />OWNER'S BA <br />1 . lErpresS <br />COMPUTER NUMBER <br />MAILING ADDRESS t <br />2 <br />TIME IN <br />PERMITILICENSE <br />0- <br />PROGRAMIELEMENT <br />SERVICE <br />TIME OUT <br />RATE OF FLOW <br />pH <br />ow <br />CL <br />TEMP <br />OTHER <br />F <br />STR <br />OPER <br />Z <br />w <br />Filters <br />1 <br />2 <br />3 <br />4 <br />0- <br />Pumps <br />5 <br />6 <br />n <br />Chlorinator <br />ow <br />Flowmeter <br />7 <br />g <br />Z <br />Gauges <br />9 <br />10 <br />11 <br />12 <br />Skimmer & Gutters <br />Back Flow Prevention <br />13 <br />14 <br />15 <br />16 <br />O <br />R <br />Waste Water Prevention <br />17 <br />18 <br />w <br />Water Supply & Quality <br />RECEIVED BY: <br />SANITA N: <br />'s <br />Pipe & Fittings <br />19 <br />ZO <br />Pool Shell <br />20 <br />ZU <br />Bottom & $ides <br />21 <br />22 <br />OUQ <br />23 <br />24 <br />Decking & Coping <br />25 <br />26 <br />Diving Boards <br />Resure Pole <br />27 <br />28 <br />Z <br />Life Rings <br />29 <br />30UJ, <br />Safety Signs <br />31 <br />32 <br />33 <br />Lifeguard <br />CI <br />Lighting Elec. <br />34 <br />35 <br />UJ <br />Ladders <br />36 <br />37 <br />38 <br />39 . <br />w <br />LL <br />Depth Markers <br />40 <br />41 ' <br />Q <br />N <br />First Aid Kits <br />42. <br />43 <br />Gas Masks <br />�g <br />Showers <br />44. <br />45 <br />46� <br />47 <br />WO <br />Toilet & Dressing <br />¢¢ <br />Ventilation <br />4&. <br />49. <br />Chlorine <br />50 <br />pH <br />51 <br />OOQ <br />CYenurates <br />52', <br />aO <br />Clarity <br />53. <br />Test Kits <br />54' <br />Supervision & Control <br />55' <br />Lu <br />2 <br />General Sanitation <br />56 <br />F <br />o <br />Miscellaneous <br />57: <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E[] G❑ F[] P❑ <br />C❑ <br />The marked items represent Health Code violations and must be corrected as <br />follows: <br />`Y <br />r,rf u5 4 r rvt <br />r0 <br />OFFICE ADDRESS <br />445 N. SAN JOAQUIN ST., STOCKTON, CAAll <br />(NO MAIL IS RECEIVED AT THIS ADDRESS) <br />PHONE (209) 468.3420 <br />RECEIVED BY: <br />SANITA N: <br />'s <br />PAGE OF <br />2188 <br />