Laserfiche WebLink
SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQ COUNTY PUBLIC HEALTH SEI -ES <br />ENV ixONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS _ � /1_ <br />L�/�Y/t-/\ bp—AA <br />1 1 a, � <br />l/ IBJ L9V / <br />DATE <br />OWNER'S NACM A <br />b <br />�jfl�CIM <br />Z <br />COMPUTER NUMBER <br />MAILING ADDRESS <br />/ <br />^_ , � / <br />/ <br />,IM1, �Vh1• '✓D� <br />TIME IN <br />PERMITILICENSE <br />PROGR/IM/ELEMENT <br />V1C - <br />TIME OUT <br />RATE OF FLOW �j <br />PH <br />Ow <br />CL <br />TEMP <br />OTHER <br />C 160�n <br />r,J\' a,Z-s <br />F <br />STA <br />OPER <br />Z <br />Filters <br />1 <br />2 <br />3 <br />4 <br />a <br />Pumps <br />5, <br />6 <br />7 <br />Chlorinator <br />Ow <br />Flowmeter <br />7 <br />8 <br />Z <br />O <br />Gauges <br />9' <br />10 <br />11 <br />12 <br />Skimmer If Gutters <br />Back Flow Prevention <br />13 <br />14 <br />O <br />Waste Water Prevention <br />Water Supply 8 Oualily <br />IU <br />Pipe 6 Fillings <br />O <br />Pool Shell <br />121;;22 <br />ZU <br />Bottom d Sides <br />O¢ <br />Decking d Coping <br />�Diving <br />Boaraa <br />Resurs Pole <br />29 <br />30. <br />i <br />Life Rings <br />31; <br />32' <br />i <br />Safety Signe <br />33 <br />Q. <br />Lifeguard <br />5 <br />O <br />Lighting Elec. <br />34; <br />35 <br />Ladders <br />36 <br />37 <br />38 <br />39' <br />u <br />Depth Marken <br />40: <br />41. <br />N <br />First Aid Kits <br />42 <br />43 <br />Gas Masks <br />Shovsre <br />44 <br />45 <br />,MO <br />Toilet 8 Dressing <br />46 <br />47 <br />¢¢ <br />Ventilation <br />48; <br />49. <br />Chlorine <br />50 <br />PH <br />51 <br />Oa <br />Cyanurales <br />52, <br />as <br />Clarity <br />53 - <br />Test Klls <br />54' <br />¢ <br />Suoervmlon a Com,ol <br />55' <br />LU <br />= <br />j <br />General Sanitation <br />56 <br />H <br />O <br />Miscellaneous <br />III57. <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E❑GF] F[] P❑ Ca <br />OH$.FM ' u2 19RKI <br />