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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQ N COUNTY PUBLIC HEALTH SEF CES
<br />EN N _-ONMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />2 liCi
<br />DATE
<br />OWNER'S NAME/DBA
<br />041-cw poi, , __ i 1 1 e- 4-1,4..“. P11c - c? fly as--7, - A
<br />COMPUTER NUMBER
<br />MAILING ADDRESS ,—
<br />TIME IN
<br />, PERMIT/UCENS PROGRAM / ELEMENT SERVICE ,--) TIME OUT
<br />RATE OF FLOW PH
<br />, .'¼_1 .,,„D
<br />CL. i ..„...— -1-.-,...L_
<br />,1:,y, •-,. A, pv• >
<br />TEMP OTHER, ,
<br />- - - — t f ti 7:4: 4114)3(<:-/ tf . 71: :' *. ievi 7-<. RECIRCULATION EQUIPMENT SIR OPER
<br />Fillers
<br />Pumps
<br />Chlorinator
<br />Flowmeter
<br />Gauges
<br />Skimmer & Gutters
<br />Back Flow Prevention
<br />Waste Water Prevention
<br />Water Supply & Duality
<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 />19:
<br />W20 CON- STRUCTIO Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21. . 22
<br />23 24
<br />25 26: SAFETY EQUIPMENT Assure Pole
<br />Life Rings
<br />Safety Signs
<br />Lifeguard
<br />Lighting Elec.
<br />Ladders
<br />Depth Markers
<br />First Aid Kits
<br />G83 Masks
<br />27' 28 ,
<br />29, 30,
<br />31i 32'
<br />34. _ 35
<br />36' 37
<br />38 39
<br />40; 41.
<br />42, 43
<br />0
<br />co w0
<br />EEO cc
<br />showers
<br />Toilet & Dressing
<br />Ventilation
<br />44 1 45
<br />46 47
<br />48; 49. POOL QUALITY Chlorine
<br />PH
<br />Cyanurates
<br />Clarity
<br />Test Kits
<br />50
<br />
<br />
<br />
<br />
<br />CC
<br />ill
<br />I
<br />)--
<br />0
<br />Supervision & Control
<br />General Sanitation
<br />miscellaneous
<br />
<br />56
<br />57,
<br />POOL
<br />58
<br />E H
<br />STATUS:
<br />G
<br />59
<br />(MARK
<br />F
<br />60 ri
<br />ONE)
<br />p H
<br />61
<br />c ri
<br />62
<br />•
<br />The marked items represent Health Code violations and must be correctel as
<br />follows:
<br />/-) tw, k'cool 1,61c).! 1-) /2- 11fieNe5 -D6EP 1-leoi,7
<br />/,y.:,;(-6,- 77=--/L - .1-.-0 ,c1 ef', k T`A-2 77e '7f'il'---/ 1)1 ')frit'-
<br />i;914e-L . fitp, p (..26(7- it _y21-6k ok DRnht) PRoPe l'')...,1
<br />i 1,1,-/(_--/),,)-7--c-4-i ,.
<br />Ci) Dth At S' bt4,) pooL ;307-7-0,1 tx.: TI-46. 1,t.R.rkic:-izt-i
<br />(-5 D6 f4-7-7 14 6- ED6-6, , (14,6/in; 1 wo,ic _f pi 11T6-Av sl
<br />\ .,,,, ,,,,
<br />0 F1ct.,ii.4) <3.. p4Ro-r- 1 6 4) P00 )-- 0 / 410<40 1 7-ti /Al P6-Rsocr)
<br />OP
<br />m_ 1 7 155, /i,6, , 0RJ -re_ I A. T -Ii-e- '• I\JU 13e:- &)- 5,
<br />i 1444/-6.-J) 02 7-6- x...y1 _
<br />(g) ii )i4T(1-2 0 eit-1 lc 1)- A 1_ tvl t 61 et; re /3 Di Sii-- A-') 6 ''- S
<br />i'k (--- (z1-071117-1)
<br />1:31-Ze i((-ili c21)-- /4 / 55/-416- •
<br />1)
<br />/75 AIC-&-55 /7k /( I
<br />c 1 10t-TE,- 7e) (1 /-kett i< Pcc,i, Piv-,(A4 D c.i. Tc-3 k.
<br />2 (-:- 0(k ,i€=- 6
<br />KODIZPED D r4-1 kj %
<br />6 0 1 1-J-- i(-7 -1A.RW divo 47-6-i_ 6-2?-oc 7Oc)-4i)4i
<br />.7( 4-0 - r il- Li-- ) 1 Ot..010.0 el 1-4/ it - L C.
<br />iset) ot.L.RE-e recs.Luit-fiovi,
<br />\
<br />••
<br />REcE.N. -8Y.
<br />‘4.- 1
<br />ENV1 NTAL NEAL(11v1 rCIALIST
<br />' / / 7.- _____--------
<br />PAGE , OF
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