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SWIMMY- POOL OFFICI.AL INSPECTION ' ORT <br /> SAN JOA,,_ 1N COUNTY PUBLIC HEALTH SEm /ICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON, CA 95202 <br /> (209) 468-3420 <br /> BUSINESS ADDRESS DATE <br /> L)Ik) 12-W444 <br /> OWNE 'S NAMEIDBA J1 / COMPUTE NUM ER <br /> N r <br /> TIME IN <br /> MAILIIQG ADO ESS <br /> PERMITILICENSE PROGaAi.I/E`E ENT ` R CE • - TIME OUT <br /> RATE OF *LO pH `y CL- TEMP OTHER <br /> STR OPER The marked items represent Health Code violations and must be correcte,), as <br /> U Fillers 1 2 follows: <br /> 2 Pumps 3 4 <br /> aop <br /> Inn <br /> 7 Chlorinator 5 6 & 9�jl V I L l <br /> w Flowmeter 7 8 <br /> O Gauges 9' 10 <br /> (4�I-�;Y <br /> JSkimmer b Gutters 11 12 <br /> � Back Flow Prevention 13 14 L-. <br /> U Waste Water Prevention 15 16 1� <br /> S �7 <br /> IU Water Supply&Ouality 17. 18. <br /> aC Pipe&Fittings 19'; <br /> C1 Pool Shell 20 <br /> 2i i,- Bottom d Sides 21' 2200 <br /> /I� '� <br /> � Decking&Coping 23 24 (�t�t/Y t b <br /> Diving Boards 25 26; r <br /> Rosure Pole 27! 28 <br /> Z Life Rings 29! 30, , 1, <br /> 2 Safety Signs 31; 32' Y t <br /> a Lifeguard 33 <br /> wLighting Elec. 34. 35 <br /> Y Ladders 36' 37 4 <br /> W Depth Markers 38 39 / < <br /> LL <br /> N Q <br /> First Aid Kits 40: 41 <br /> Gas Masks 43 1/,� q o `J k'v' t �'��� 0 -z- <br /> 42, <br /> In Showers 44 45 r <br /> N� ^ I <br /> w0 Toilet b Dressing 46' 47 ���i �+ <br /> 2 Ventilation 48. 49• / �., <br /> } Chlorine 50 � ell <br /> 1_ pH 51 <br /> OZ Cyanurales 52: �� <br /> as Clarity 53 <br /> Test Kits 54' <br /> CC SUDerv1e10n&Control 55' <br /> w <br /> I Genoral Sanitation 156 <br /> O 1 Miscellaneous 57, <br /> POOL STATUS: (MARK ONE) <br /> 58 59 60 61 62 <br /> E ❑ G ❑ F [] P❑ C❑ I <br /> E OF <br /> OHS;7W-2 IF..1Wil I PA <br />