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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SANT JOAQTTIN COUNTY PUBLIC HEALTH SET 'CES <br />EN ONMENTAL HEALTH DIVISION . f <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS !, <br />t <br />r <br />DA i <br />OWNER'S NAMEIDeA {'I /I (( �, /1 ' <br />LA Y \I <br />COMPUTER NUMBER <br />MAILING ADDRESS <br />TIME IN <br />PERMITILICENSE <br />PROGRAMIELEMENT <br />S ICE + 1 h <br />TIME OUT <br />RATE OF FLOW <br />pH,� s s� <br />C� &- ` <br />TEMP <br />O� R Z4 _ z� r, <br />F <br />+ Sh�tllcL �ru� <br />STR <br />OYER <br />Z <br />Filters <br />1 <br />2 <br />3 <br />4 <br />a <br />Pumps <br />5 <br />6 <br />tion r CA e�ti c� <br />Chlorinator <br />wFlowmeter <br />non-bo <br />7 <br />8 <br />Z <br />O <br />Gauges <br />9' <br />10 <br />11 <br />12 <br />ti <br />a <br />Skimmer & Gutters <br />13 <br />14 <br />-I <br />Back Flow Prevention <br />15, <br />16 <br />O <br />Waste Water Prevention <br />17. <br />18. <br />0 <br />Water Supply d Duality <br />LU <br />rW <br />Pipe S Fillings <br />19. <br />O <br />Pool Shell <br />20 <br />21' <br />22 <br />ZU <br />Bottom 6 Stces <br />0D <br />Decking & Coping <br />23 <br />24 <br />25 <br />26• <br />� <br />Diving Boards <br />Assure Pole <br />271 <br />2&- <br />Z <br />Life Rings <br />291 <br />30, <br />31 <br />32' <br />Safety Signa <br />3 <br />t1 <br />Lifeguard <br />5 <br />0 <br />Lighting Elec. <br />Ladders <br />7 <br />9' <br />W <br />Depth Markers <br />4141 <br />y <br />First Aid Kits <br />3 <br />Gas Masks <br />�In <br />Showers <br />44 <br />45 <br />46' <br />47 <br />W <br />0 <br />Toilet d Dressing <br />¢¢ <br />Ventilation <br />48; <br />49. <br />Chlorine <br />50 <br />> <br />�~ <br />pH <br />51 <br />O:i <br />Cyanurales <br />52! <br />a70 <br />Clarity <br />53• <br />Teat Kits <br />54' <br />¢ <br />Supervision & Control <br />55' <br />Ui <br />S <br />Genurel Sanitation <br />5G <br />1- <br />O <br />Miscellaneous <br />57. <br />POOL STATUS: (MARK ONE) <br />58 59 60 61 <br />62 <br />E❑ G❑ F[] P❑ C❑ <br />PHS 5N ' O2 WW <br />The marked items represent Health Code violations and must be correctELL as <br />follows: <br />+ Sh�tllcL �ru� <br />l^a <br />'(? C pare % <br />07. <br />Mrnl�e <br />ire <br />wri. <br />a cab <br />tion r CA e�ti c� <br />3 1\ '{ �[ lA2 0 <br />non-bo <br />IX -.lis SA k <br />I 1 <br />h, <br />IInd pq, ��((��V� <br />VLA <br />•---/) <br />I) � • MQ � <br />d� VI <br />IDJ IS y <br />AEC VED 9Y'. <br />s r It 7AL <br />P E GF <br />V <br />