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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQi"N COUNTY PUBLIC HEALTH SEP` -CES <br />ENN. .JNMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESSMC)�r ����C n <br />H <br />DnfE <br />ylj— <br />L}.J1 /`p <br />�M I� <br />'rV�y <br />Fillers <br />1 <br />OWNER'S NAMEIDSA <br />%Z))Iro r3o4,) 3CQeJ <br />CO`MPP�UT_ERTRNUMBER <br />O I'LLP-1 R d- a vi r /j015< <br />Pumps <br />Ll <br />MAILING ADDRESS <br />5 <br />6 <br />TIME IN <br />t®,. <br />PERMITILICENSEPROGRAMIELEMENT <br />/'2o-360 26 e <br />w <br />Flowmeler <br />7 <br />SERVICE <br />TIME OUT <br />Gauges <br />9' <br />3G ! <br />11 <br />IQo4n� <br />F- <br />RATE O FLOW <br />��f�u <br />ON �j <br />CL � <br />TEMP <br />OTNER <br />Crsr TNA/ 2 5 <br />151 <br />16 <br />2 <br />Waste Water Prevention <br />17. <br />The marked items represent Health Code violations and must be correcleri, as <br />follows: <br />STIR <br />OPER <br />W <br />Fillers <br />1 <br />2 <br />%Z))Iro r3o4,) 3CQeJ <br />3 <br />4 <br />O I'LLP-1 R d- a vi r /j015< <br />Pumps <br />Ll <br />ry oar KessuaE 2d - FR i17( -*fu v <br />5 <br />6 <br />7 <br />Chlorinator <br />w <br />Flowmeler <br />7 <br />8 <br />O Z <br />Gauges <br />9' <br />10 <br />11 <br />12 <br />F- <br />Skimmer 8 Gutters <br />J <br />� <br />Back Flow Prevention <br />13 <br />14 <br />151 <br />16 <br />2 <br />Waste Water Prevention <br />17. <br />18. <br />Water Supply & Quality <br />lU <br />Pipe 6 Fittings <br />19� <br />O <br />Pool Shell <br />20 <br />21' <br />22 <br />zv <br />Bottom a Sides <br />00¢ <br />Decking d Coping <br />23 <br />24 <br />DNIng Boards <br />2$ <br />26 <br />Recurs Pole <br />27 <br />28 <br />29! <br />30, <br />Z <br />Life Rings <br />31 <br />32` <br />Safety Signs <br />33 <br />Lifeguard <br />w5 <br />Lighting Else. <br />34' <br />35 <br />Ladders <br />36' <br />37 <br />38 <br />39 <br />LL <br />Depth Markers <br />To— <br />NFirst <br />Aid Kits <br />42 <br />43 <br />Gas Masks <br />E-0 <br />Stowers <br />44 <br />45 <br />46' <br />47 <br />wO <br />Toilet & Dressing <br />¢Q <br />Ventilation <br />48; <br />49 <br />Chlorine <br />50 <br />pH <br />51. <br />0< <br />Cyanurales <br />52: <br />aO <br />Clarity <br />53 - <br />Test Klls <br />54' <br />supervision a control <br />wm <br />General Sanitation <br />GIO <br />r57 <br />Miscellaneous <br />. <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E❑ G❑ F❑ P❑ C❑ <br />32 PN <br />ou-( <br />QHS Ew • ey rR/gRl <br />The marked items represent Health Code violations and must be correcleri, as <br />follows: <br />�rH <br />I PSL p)6bkfs dw BoTToll-k, , 45E Aooz <br />NP p<rv7v(/ (/ <br />PuRCX IRITvyj fast 4/� <br />%Z))Iro r3o4,) 3CQeJ <br />bjftt-9 C<-XPf /�T �LTctR UfLi zuE <br />��P1�lR To STvP aRIP <br />O I'LLP-1 R d- a vi r /j015< <br />1,666 / 6Dr ieL <br />>f:>W uGE 5T4PK jAfrw6P1*rC,- <br />ry oar KessuaE 2d - FR i17( -*fu v <br />0gt"4,t,5N 1MN7E /#T< --L- I r <br />RFC0 4D 5 ILI 15- /ItP AM04 D r,v& 2 6 L I V * <br />1)��E. C'New�Il�� iC-Srlvrr� u�usi i3 C- REcoRf�E� <br />(o WC -IR IN SK1mWER,�P�IFN� B�1 i-Zo _D'( <br />7 CoL2 PL/i TE R SK,yTIY,ER C�R/9PCE>1 <br />RC?SPE, /n�rE�,�ari�Jr <br />RECEIVED : <br />IYYI Mi LL flEC4Ll5I <br />PA OF <br />