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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES
<br />ENV1 NMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADORES
<br />21-14 t \N. E. (m q, Lodi
<br />DATE
<br />ID -1Z. oq
<br />OWNER'S NAME ,OBA )
<br />Ern. V\ilesf CO A.
<br />COMPUTER NUMBER
<br />MAILING ADDRESS TIME IN
<br />PERMIT; LICENSE PROGRAM/ELEMENT SERVICE
<br />RD 0 b-CLQ
<br />TIME OUT
<br />OTHER c.,,,vrtwuicacici. RATE OF FLOW
<br />...)
<br />ph
<br />1.1.
<br />CL ILA fryl
<br />. -A rfcr, t,c, vrt‘o.n.,,l_
<br />TEMP
<br />.0 Prn
<br />5e-c El la: 33'4 -I -7- (—MN t RECIRCULATION EQUIPMENT STR OPER
<br />Fillers 1
<br />Pumps
<br />Chlorinator
<br />Flowmeter
<br />Gauges
<br />Skimmer & Gutters
<br />Back Flow Prevention
<br />Waste Water Prevention
<br />Water Supply & Quality
<br />Pipe & Fittings
<br />1 2
<br />3 4
<br />5 6
<br />7 8
<br />9 . 10
<br />11 12
<br />13 14
<br />15! 16
<br />17, 18,
<br />'72420
<br />19. / CON- STRUCTION, Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21 . 22
<br />23 24
<br />25 26. SAFETY EQUIPMENT Rasura Pole
<br />Ufo Rings
<br />Safety Signs
<br />Lifeguard
<br />Lignting Elec.
<br />Ladders
<br />Depth Markers
<br />First Aid kits
<br />Gas Masks
<br />27i 28.
<br />29 30
<br />31 32'
<br />./Z433
<br />34, 35
<br />36' 37
<br />38 39
<br />40: 41
<br />42, 43
<br />(/) }—,
<br />wo
<br />crO CC
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44, 45
<br />46: 47
<br />48; 49.
<br />>--
<br />o <
<br />CL D 0
<br />Chlorine
<br />„ti 1-•
<br />, ‘...yanurates
<br />Clarity
<br />Test Kits
<br />50
<br />51.
<br />52
<br />53 ,
<br />
<br />cr ui
<br />I I— o
<br />Suoosion & Control
<br />General Sanitation
<br />Miscellaneous
<br /> —
<br />56
<br />57,
<br />E
<br />POOL STATUS:
<br />[H G
<br />59
<br />(MARK
<br />F
<br />60
<br />ONE)
<br />P
<br />61
<br />C
<br />62 ,
<br />20 PS1 ..._ 1 .
<br />S V \ t'c-Cs \-
<br />The marked items represent Health Code violations and must be corrected_ as
<br />to
<br />64.) 1110 6 i feCrU2 r.11i k-ktoi-en irril M vt--('SSLAXUZ
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<br />10 AM - 10 NA. -1-6m.s/J-13 oJisz te.\. cvrn ,
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<br />o'Ck 0,k ckcAk_ or 0.1. tects\. -1.h.coLtib 40.; \, -10(.1--cLi)
<br />0Co_visLaccV‘ot-A-
<br />0 31-tal tow end 5'1.6.mtftsi A ( 0 vi2n ,s I) tr., \u) r? . '20 p lac 0 61
<br />io 4 •
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<br />Li23 fil DC Mais,Ou-4:3
<br />RECEIVE BY
<br />0 •S • WA:LP am..;.r. iaLALisi
<br />PAGE
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