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SWIMM' �1 POOL OFFICIAL INSPECTION --DORT <br />SAN JO..iUIN COUNTY PUBLIC HEALTH . _AVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009, STOCKTON, CA 95201 <br />BUSINESS ADDRESS <br />DATE <br />W�-_ <br />Z w <br />Filters <br />COMPUTER NUMBER <br />MAILING ADDRESS <br />2 <br />3 <br />4 <br />a <br />TIME IN <br />PERMITILICENSE <br />5 <br />PROGRAMIELEMENT <br />VICE <br />Chlorinator <br />TIME OUT <br />RATE OF FLOW <br />OH <br />.2 <br />CL <br />1 U.12_ <br />TEMP <br />Z <br />O <br />OTHER <br />e >9 <br />r <br />STIR <br />OPER <br />Z w <br />Filters <br />1 <br />2 <br />3 <br />4 <br />a <br />Pumps <br />5 <br />6 <br />D <br />Chlorinator <br />Ow <br />Flowmeter <br />P� <br />7 <br />8 <br />Z <br />O <br />Gauges <br />9 <br />10 <br />11 <br />12 <br />Skimmer 8 Gutters <br />Z) <br />13 <br />14 <br />—' <br />7 <br />Back Flow Prevention <br />15 <br />16 <br />U <br />Waste water Prevention <br />17 <br />18 <br />w <br />Water Supply & Quality <br />19 <br />¢ <br />Pipe 8 Fittings <br />OZ <br />Pool Shell <br />20 <br />z 1= <br />Bottom & Sides <br />21 <br />22 <br />23 <br />24 <br />00¢ <br />Decking & Coping <br />25 <br />26 <br />I— <br />Diving Boards <br />Resure Pole <br />27 <br />28 <br />Z <br />Life Rings <br />29 <br />30, <br />31 <br />32' <br />i <br />Safety Signs <br />33 <br />a <br />Lifeguard <br />34 <br />35 <br />O <br />UJ <br />Lighting Elec. <br />36 <br />37 <br />F <br />Ladders <br />38 <br />39 <br />W <br />Depth Markers <br />40 <br />41 <br />Q <br />First Aid Kits <br />42. <br />43 <br />Gas Masks <br />01 <br />showers <br />44, <br />45 <br />46 <br />47 <br />WO <br />Toilet a Dressing <br />¢¢ <br />Ventilation <br />48, <br />49 <br />Chlorine <br />50 <br />pH <br />51 <br />Oa <br />Cyanurates <br />52. <br />aO <br />Clarity <br />53 <br />Test Kits <br />54 <br />¢ <br />Supervision d control <br />55I <br />w <br />S <br />General Sanitation <br />56 <br />r <br />O <br />Miscellaneous <br />57. <br />POOL STATUS: (MARK <br />ONE) <br />58 59 <br />60 61 <br />62 <br />E a G❑ F <br />1 P❑ C F <br />`s <br />e w <br />� TrI <br />The marked items represent Health Code violations and must be corrected as <br />follows: <br />�l <br />P� <br />s s <br />dam. <br />-Du <br />Z) <br />VIA <br />I( <br />EC By: <br />OFFICE ADDRESS <br />445 N. SAN JOAQUIN ST., STOCKTON, CA <br />(NO MAIL IS RECEIVED AT THIS ADDRESS) " A" <br />PHONE (209) 468-3420 <br />PA E OF <br />2188 <br />