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SWIMMIN --,OOL OFFICIAL INSPECTION RE QT <br />SAN JOAQL,ALQ COUNTY PUBLIC HEALTH SER *v,CES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209)468-3420 <br />BUSINESS ADDRESS <br />^ <br />pq <br />j� ^� <br />3(oq— <br />V1l <br />DATE / <br />6�O <br />A)- "r 6�w <br />L <br />1 2 <br />COMPUTER NUMBER <br />OWNER'S NAME/O8A14: <br />48�r2 <br />MoBrcE NvKE <br />�i4�K <br />Chlorinator <br />l0000 <br />Ow <br />Flowmeler <br />7 6 <br />S�4')3`12 <br />7,V 36s/9( <br />MAILING ADDRESS <br />11 12 <br />_ <br />Skimmer & Gullers <br />a <br />� <br />PERMIT IULENSE <br />13 14 <br />PaOGRAM/ELEMENT <br />SERVICE <br />TIME OUT <br />17. 18, <br />U <br />Water Supply d Quality <br />LU <br />¢ <br />Pipe 3 Fittings <br />RATEOFFLOW �� <br />PH .�] <br />+ <br />APL <br />CL N4 YLO C- <br />- O' �/I / <br />�CsVG! 0 <br />OWER oJIOr .R Lir <br />L. YL° _ / <br />�F %ref-ec(I <br />bottom a side$ <br />SG.4 7.roc•w.L•r-ted <br />0(.) <br />¢ <br />Decking 6 Coping <br />25 26• <br />Diving Boards <br />Rasura Pole <br />27! 28' <br />291 30, <br />GfhCrow � 3a <br />#,es : la- ( O <br />rp. <br />The marked items represent Health Code violations and must be corrected, as <br />follows: <br />Ged <br />/ S C, 23 r.0 <br />0 ✓Y�c"I Lwi-✓LvG-�L2 _ <br />3 eFs <l2eo SlerwLw <br />S' 2C07 <br />et - <br />If k <br />ro0 -t;wcP o Ulm <br />4o /(20 •� YE-D� W v [Cr %41 V ccc.� <br />r.J nSo <br />` W1, <br />/LSV <br />oRc.cw=z IFa51 .lL'.'iLJ _ <br />lieSS[t�'. <br />t_.._ us /SQA+ E . ��• : a <br />r`2rv.5.�2c tw w73Yt L� �Llalo <br />� o�k�r 'f-0 yl <br />rr^ <br />v <br />(n/ zc/c?) <br />_...,.,r�I-��„Im.,I�Bnte�alo/lRl npTCTntni HUT -4 5/88 <br />STR OVER <br />H <br />LU <br />LU <br />Fillers <br />1 2 <br />3 4 <br />� <br />Pumps <br />a <br />Chlorinator <br />5, 6 <br />Ow <br />Flowmeler <br />7 6 <br />9' 10 <br />O <br />Gauges <br />11 12 <br />P- <br />Skimmer & Gullers <br />a <br />� <br />Back Flow Prevention <br />13 14 <br />15, 16 <br />U <br />Waste Water Prevention <br />17. 18, <br />U <br />Water Supply d Quality <br />LU <br />¢ <br />Pipe 3 Fittings <br />19. <br />O <br />Pool shell <br />20 <br />21 22 <br />ZF <br />bottom a side$ <br />23 24 <br />0(.) <br />¢ <br />Decking 6 Coping <br />25 26• <br />Diving Boards <br />Rasura Pole <br />27! 28' <br />291 30, <br />Z <br />Life Rings <br />31; 32' <br />Safety Signe <br />33 <br />7 <br />Lifeguard <br />34 35 <br />w <br />Lighting Elec. <br />3(i' 37 <br />Ladders <br />38 39' <br />W <br />Depth Markers <br />N <br />First Aid Kits <br />40+ 41 -. <br />42 43 <br />Gas Masks <br />E -N <br />s <br />Stowers <br />44 45 <br />47 <br />WO <br />Toilet B Dressing46' <br />¢¢ <br />ventilation <br />Chlorine 50 <br />Jr <br />pR 51• <br />O:i <br />Cyanuntes 52. <br />ao <br />clarity 53- <br />Test Kits 54' <br />¢ <br />Suvervulon a control 55' <br />UJ <br />S <br />Genoral Sanitation 56 <br />OMiscellaneous <br />157, <br />US: (MARK ONE) <br />POOL STAT58 <br />59 60 61 62 <br />E❑ G❑ F❑ P❑ C� <br />SPA <br />OF l f ryyP. IS <br />#,es : la- ( O <br />rp. <br />The marked items represent Health Code violations and must be corrected, as <br />follows: <br />Ged <br />/ S C, 23 r.0 <br />0 ✓Y�c"I Lwi-✓LvG-�L2 _ <br />3 eFs <l2eo SlerwLw <br />S' 2C07 <br />et - <br />If k <br />ro0 -t;wcP o Ulm <br />4o /(20 •� YE-D� W v [Cr %41 V ccc.� <br />r.J nSo <br />` W1, <br />/LSV <br />oRc.cw=z IFa51 .lL'.'iLJ _ <br />lieSS[t�'. <br />t_.._ us /SQA+ E . ��• : a <br />r`2rv.5.�2c tw w73Yt L� �Llalo <br />� o�k�r 'f-0 yl <br />rr^ <br />v <br />(n/ zc/c?) <br />_...,.,r�I-��„Im.,I�Bnte�alo/lRl npTCTntni HUT -4 5/88 <br />