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SWIM ) POOL OFFICIAL INSPECTIO ORT <br />SAN &#. QUIN COUNTY PUBLIC HEALT RVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009, STOCKTON, CA 95201 <br />BUSINESS ADDRESS <br />II' -r1pe e4,00 <br />STIR <br />DATE <br />/ hy m <br />ou 12 <br />1 <br />y�o <br />3 <br />.. <br />a <br />Pumps <br />OWNER'S NAME/DSA <br />6 <br />M <br />COMP TER NA <br />iAo1 <br />Z. , <br />7 <br />g <br />MAILING ADDRESS <br />Gauges <br />9 <br />TIME IN <br />11 <br />12 <br />< <br />// on <br />7 <br />Back Flow Prevention <br />13 <br />14 <br />PERMITILICENSE <br />Waste Water Prevention <br />15 <br />PROGRAM I ELEMENT <br />SERVICE <br />TIME OUT <br />w <br />Supply & Quality <br />Water <br />¢ <br />1 Pipe & Fittings <br />19 <br />/Z - <br />RATE OF FLOW <br />Pool Shell <br />pH <br />CL <br />TEMP <br />OTHER <br />H <br />II' -r1pe e4,00 <br />STIR <br />OPER <br />Z <br />w <br />Filters <br />1 <br />2 <br />3 <br />4 <br />a <br />Pumps <br />5 <br />6 <br />M <br />Chlorinator <br />Lu <br />Flowmeter <br />7 <br />g <br />Z <br />Gauges <br />9 <br />10 <br />11 <br />12 <br />< <br />Skimmer & Gutters <br />7 <br />Back Flow Prevention <br />13 <br />14 <br />O <br />Waste Water Prevention <br />15 <br />16 <br />17 <br />18 <br />w <br />Supply & Quality <br />Water <br />¢ <br />1 Pipe & Fittings <br />19 <br />ZO <br />Pool Shell <br />20 <br />ZU <br />Bottom & Sides <br />21 <br />22 <br />00¢ <br />23 <br />24 <br />OFFICE ADDRESS <br />445 N. SAN JOAQUIN ST., STOCKTON, CA <br />(NO MAIL IS RECEIVED AT THIS ADDRESS) <br />PHONE (209) 468.3420 <br />Decking & Coping <br />a NITA IAN: <br />PAGE OF <br />T5-1-26, <br />Diving Boards <br />Resure Pole <br />27' <br />28' <br />~Z <br />Life Rings <br />T9— <br />UJ <br />Safety Signs <br />31 <br />32 <br />33 <br />a <br />Lifeguard <br />Lighting Elec. <br />34 <br />35 <br />ud <br />Ladders <br />36 <br />37 <br />38 <br />39 <br />w <br />LL <br />Depth Markers <br />40 <br />41 <br />Q <br />rn <br />First Aid Kits <br />142, <br />43 <br />Gas Meeks <br />I—(D <br />Showers i44 <br />45 <br />46: <br />47 <br />¢00 <br />Toilet & Dressing <br />¢ <br />Ventilation <br />48. <br />49. <br />Chlorine <br />50 <br />PH <br />51 <br />O< <br />Cyanurates <br />52 <br />aQ <br />Clarity <br />53 <br />Test Kits <br />1541 <br />¢ <br />Supervision a Controlr57—, <br />51 <br />UJ <br />x <br />General Sanitation <br />6 <br />O <br />Miscellaneous <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />Ea G❑ F❑ P❑ C <br />The marked items represent Health Code violations and must be corrected as <br />follo�pjws: <br />II' -r1pe e4,00 <br />!• <br />S <br />01 10 Irp OW04 <br />de,14"Ir <br />r <br />d fit <br />yl Ica / <br />S1Ror j <br />k <br />—A?Te i4ell�J <br />r <br />d An war -f <br />l a <br />OFFICE ADDRESS <br />445 N. SAN JOAQUIN ST., STOCKTON, CA <br />(NO MAIL IS RECEIVED AT THIS ADDRESS) <br />PHONE (209) 468.3420 <br />RECEIVED BY: <br />a NITA IAN: <br />PAGE OF <br />2188 <br />