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SIR UPEFt
<br />Finis( s 1 2
<br />Pumps 3 4
<br />Chlorinator 5 6
<br />Flowmeter 7 8
<br />Gauges 9 . 10
<br />Skimmer & Gutters 11 12
<br />Back Flow Prevention 13 14
<br />Waste Water Prevention 15 , 16
<br />Water Supply & Quality 17 18
<br />Pipe & Fittings 19 7jA
<br />Pool Shell 20
<br />Bottom & Slays 21 22
<br />Decking & Coping 23 24
<br />Diving Boards 25 26.
<br />Rasura Pole 27 , 28-
<br />Lilo Flings 29; 30,
<br />Safety Signs 31: 32*
<br />Lifeguard A33
<br />Lighting Elec. 34 , 35
<br />Ladders 36' 37
<br />Depth Markers 38 39
<br />First Aid Klts 40. 41
<br />G83 Masks 42, 43
<br />Showers 44, 45
<br />Toilet & Dressing 46: 47
<br />Ventilation 48, ,49
<br />Chlorine 50
<br />51.
<br />Cyanurates 52
<br />Clarity 53 ,
<br />Test Kits
<br />SUOt3lOn & Control
<br />General Sanitation 56
<br />Miscellaneous 57
<br />POOL 3TATUS (MARK ONE)
<br />59 60
<br />
<br />61
<br />
<br />62
<br />
<br />E L G F
<br />'n1 c /o
<br />e-f-i
<br />
<br />I., • n7 r;1,-.)
<br />iNIMINU POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQUir'r COUNTY PUBLIC HEALTH SERv":ES
<br />ENV .iNN1ENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BU5INESS ALXRESS
<br />a A I A o clo
<br />UATE
<br />I ...._
<br />owN,A.s N.AmE,08A
<br />COMPUTER ,
<br />72') CI 7/) / i)<_. P0-47
<br />NUmbER
<br />MAILING AUIDNESS
<br />311)C k_AP1 fil (1/11,C
<br />TimE rd I
<br />/ .' 0 0
<br />PERmitiliCEW 0
<br /> *)&) e Cie ,12)
<br />PHOG RANI 1 ELEMENT ,.....
<br />36c 1Ce (7-01 -1-)/7-e_.
<br />HVICE TIME Lair
<br />I q C)
<br />RATE OF FLOW
<br />673 6.ftli
<br />p.1 'CL-Z-Lt_e_
<br />9. 2.---
<br />/,, 2_,_,,
<br />-,-,6 8r---.
<br />TEmP ____ OTHER
<br />The marked items represent Health Code violations and must be correctiza, as
<br />follows:
<br />0 i,E,1 I-L.0'F A_Gra,f L4t-1- 6e tt)IV -1--e-- ,06,--C
<br />01-LiAiA.,-Le_ ctt- e 11,22 ,-e,L debt` S i
<br />c7taan 7(0 cd
<br />/ i,u--o ,54.,t•pi n-,..e-rs aj 1-11-C. 5har (Lo 6-ki d
<br />61- r 1 ri,- s 6-.)-Lt (a--cies //u-ez-s-1 ssi-7-, c,...) ?1,--1,--t. ci_c_
<br />I 1 A .1-
<br />':7.; (-6 ck it ic
<br />?--4•.`e '-t ,SA/6 -b7
<br />/ ni ii-Lit di P/'It (.4.j .
<br />(5-) 3ia (( (V) a , r AK (A., 6*-/-41 ra 4 cct 6k__ alep
<br />,,-
<br />aj -- t, nert-1-11 s i AI - Too 1• Ref) a-L-1' ii c) ,
<br />-->r Chr i‘
<br />bquArk ( .Z ,4 d
<br />21
<br />r ID Br
<br />LIIII‘A.kil' 7.1-fr-‘ft, e-
<br />liatlealeW. 1 II SeEPAZS7c.
<br />PACE ' '..)f, /
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