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SSV I Nl NIl N G POOL OFFICIAL INSPECTION I<EPOR t' <br /> SAN JO QUJ'`r COUNTY PUBLIC HEALTH SERI""ES <br /> ENVI_ NNIENTAL HEALTH DIVISION <br /> 304 EAST WEBER EVEN UE, THIRD FLOOR <br /> STOCKTON, CA 95202 <br /> (209) 468-3420 <br /> DATE <br /> BUSINESS ADDRESS <br /> -V-0V <br /> COMPUTER NUMNER <br /> OWNER'S NA ME!DBA <br /> TIME IN <br /> MAILING ADDRESS <br /> 67 C <br /> PERMITILICENSE PHOGRmA!ELEMENT SERVICE TIME Our <br /> c� 3� cod 3& l i' fin-c 3 35 <br /> RATE OF FLOW PH CLJLea 6,$ TEMP .I/� O7RtH <br /> l00 � P 7q �. c $ N " D <br /> srR DPert The marked iterns represent Health Code violations and must be correctul as <br /> Z Fillets 1 2 follows: <br /> w <br /> :2 Pumps 3 4 <br /> a l l�' l� 5 /zo n vt y cue �-c � hf <br /> Chlorinator 5. 6 <br /> Ow Flowmeter 7 8 <br /> Z Gauges 9' 10 S 01 ly1� cl"( C 4e <br /> O <br /> t- Skimmer 3 Gutters 11 12 <br /> J /Back Flow Prevention 13 14 !0 Y/tLe— 6A-C-- d rYl17r�I j <br /> O <br /> U Waste Water Prevention 15, 16 <br /> 2 <br /> U Water Supply 6 Quality 17 18. <br /> w <br /> 2 Pipe S Fittings 19. <br /> O Pool Shell 20 �� n I n .5 /?a ' L t 5 i n 5 <br /> Zr- Bottom d Sloes 21' 22 // <br /> O Decking&Coping 23 24 tLr)LL �Gr p vvtp— --s . <br /> iL <br /> t- Diving Boards 25 26• <br /> Resurs Pols 271 28 s L "t-2 <br /> Z Llto Rings 291 30. J� <br /> Safety Signs 31 32- -Jr"� 4►,10( 61r� 01 /101JT7nt' bisIS <br /> a. Lifeguard 33 <br /> O Lighting Elec. 34' 35 <br /> U.1 <br /> Ladders 36' 37 <br /> LU Depth Markers 38 139 <br /> LL <br /> NQ First Aid Kits 40 41 <br /> Gas Masks 42, 43 <br /> rN Showers 44 45 <br /> w0 Toilet S Dressing 46 47 <br /> ¢DOC Ventilation 48. 49. <br /> Chlorine 50 <br /> -Jr pH 51 <br /> OQ <br /> OCyanurates 52. <br /> CL Clarity 53, <br /> Test Kits 54' <br /> CC Suoervlsion d Control 55' 1 <br /> w — <br /> S General Sanitation 56 <br /> O Miscellaneous 57. <br /> POOL STATUS: (MARK ONE) -- <br /> 58 59 60 61 62 <br /> E G [] F a P [] C[] <br /> a t vEO BY <br /> ZVI. 9 <br /> E� kYYnellll nuliM SYEL1AL�lii,^ <br /> our�t+•n�Irgr.�yT PAGE CF <br />