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SWIMkr a POOL OFFICIAL INSPECTION -PORT <br />SAN JOAa.rlUIN COUNTY PUBLIC HEALTH _AVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009, STOCKTON, CA 95201 <br />BUSINESS ADDRESS <br />C' <br />DATE <br />NU D <br />OWNER'S NAMEIDBA <br />/ <br />L <br />COMPUTER NUMBER <br />MAILING ADDRESS <br />2 <br />TIME IN <br />PERMITILICENSE <br />i <br />PROGRAMIELEMENT <br />SERVICE <br />TIME OUT <br />RATE OF FLOW <br />PH <br />Cl. <br />TEMP <br />OTHER <br />1— <br />STR <br />OPER <br />Z w <br />Filters <br />1 <br />2 <br />3 <br />4 <br />i <br />Pumps <br />5 <br />6 <br />D <br />Chlorinator <br />W <br />Flowmeter <br />7 <br />8 <br />Oz <br />Gauges <br />9 <br />10 <br />11 <br />12 <br />a <br />Skimmer a Gutters <br />—I <br />Back Flow Prevention <br />13 <br />14 <br />S <br />Waste Water Prevention <br />15' <br />16 <br />17 <br />18 <br />Water supply a Quality <br />W <br />Pipe a Fittings <br />19 <br />O <br />Pool Shell <br />20 <br />21' <br />22 <br />iv <br />Bottom 8 Sides <br />L) <br />Decking a Coping <br />23 <br />24 <br />Diving Boards <br />25 <br />26. <br />Resure Pole <br />27' <br />28 <br />Z <br />Life Rings <br />29i <br />30, <br />31; <br />32' <br />i <br />Safety Signa <br />33. <br />OL <br />Lifeguard <br />S <br />O <br />Ligating Elec. <br />34 <br />35 <br />Ladders <br />T6_ <br />38 <br />39' <br />LL <br />Depth Markers <br />401 <br />41 <br />Vl <br />First Aid Kits <br />42, <br />43 <br />Gas Masks <br />F(A <br />Showers <br />44 <br />45 <br />4'a <br />47 <br />yNjO <br />Toilet 8 Dressing <br />¢cc <br />Ventilation <br />48, <br />49 <br />Chlorine <br />50 <br />PH <br />51 <br />00¢ <br />Cyanurates <br />52' <br />aO <br />Clarity <br />51 <br />Test Kits <br />54! <br />Supervision a Control <br />55 <br />w <br />S <br />General Sanitation <br />56 <br />r <br />O <br />Miscellaneous <br />157, <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />Ea GD F[] P 1 <br />C 1 <br />The marked items represent Health Code violations and must be corrected as <br />follows: <br />Q —d <br />A)l 42a,z <br />/de / —. Z — <br />c <br />Inax <br />fl <br />l /lit <br />OFFICE ADDRESS <br />445 N. SAN JOAOUIN ST., STOCKTON, CA <br />(NO MAIL IS RECEIVED AT THIS ADDRESS) <br />PHONE (209) 468-3420 <br />RECEIV <br />SA AR N. <br />PAGE OF <br />2188 <br />