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SWIMN a POOL OFFICIAL INSPECTION PORT <br /> SAN JO.--..JUIN COUNTY PUBLIC HEALTH __RVICE <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95201 <br /> BUSINESS ADDRESS QATE <br /> OW R'S NAME IDBA COMPUTER NUMBER <br /> MAILING ADDRESS TIME IN <br /> PERMITILICENSE PROGRAMIELEMENTS VICE TIME OUT <br /> RATE OF FLOW pH C O 1 ��j TEMP OTHER <br /> STR OPER The marked items represent Health Code violations and must be corrected as <br /> I Z Filters 1 2 OIIOWS: <br /> a Pumps 3 4 t ' <br /> ��n <br /> Chlorinator 5 6 Cwt tOyu VtL iub <br /> Lu Flowmeter 7 8 <br /> Z Gauges —5-70 C y ► Yw U, 1� c 1,1 L <br /> O <br /> Q Skimmer&Gutters 11 12 <br /> Back Flow Prevention 13 14 <br /> V Waste Water Prevention 15 16 <br /> w Water Supply&Quality 17 18 <br /> ¢ Pipe&Fittings 19 <br /> ZO Pool Shell 20Loom ^ J <br /> Z1= Bottom&Sides 21 22 <br /> OU¢ Decking&Coping 23 24 . 2 <br /> F' Diving Boards 25 26 <br /> Resure Pole 27' 28 Y (� <br /> z Life Rings 29' 30, <br /> M Safety Signs 31, 32 <br /> a.j Lifeguard 33 <br /> a Lighting Elec. 34 35 <br /> Ladders 36 37 <br /> LL Depth Markers 38 39 I <br /> Q First Aid Kits 40 41 <br /> N <br /> Gas Masks 42 43 <br /> Showers 44 45 <br /> U)O Toilet&Dressing 46 47 <br /> ¢O <br /> ¢ Ventilation 48. 49, <br /> Chlorine 50 <br /> pH 51 <br /> OQ Cyanurates 52 <br /> as Clarity 51 <br /> Test Kits 54 <br /> ¢ Supervision&Control 55' <br /> U.1 <br /> X General Sanitation 56 <br /> O Miscellaneous 57: <br /> POOL STATUS: (MARK ONE) <br /> 58 59 60 61 62 <br /> EL] Ga F [] -P[] C[ <br /> EIVED BY: <br /> OFFICE ADDRESS <br /> �j 445 N. SAN JOAQUIN ST., STOCKTON,CA <br /> (NO MAIL IS RECEIVED AT THIS ADDR8SS) S MITA IAN: <br /> PHONE (209)468-3420 <br /> PAG OF <br /> 2188 <br />