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SWIMMINu POOL OFFICIAL INSPECTION RE. JRT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICE <br />ENVIRONMENTAL HEALTH DIVISION <br />POST OFFICE BOX 388, STOCKTON CA 95201 <br />BUSINESS ADDRESS <br />/C —10W1t61 D <br />DATE <br />--/ ,Lt 0 <br />BER OWNER'S MB., j <br />VC-17Y, -----et-V14--. <br />COMPIUTEFI <br />MAILING ADDRESS TIME IN <br />PERMIT/LICENSE PROGRAM /ELEMENT „,..-SETICE <br />I G, <br />, <br />41/Vt) JAI <br />TIME OUT <br />RATE OF FLOW-) <br />--:. <br /> PH CL. TEMP OTHER <br />—66 RECIRCULATION EQUIPMENT SIR OPEN 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 & Quality <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 7/7 CON- STRUCTION Pool Shell <br />Bottom & Sides <br />Decking & Coping <br />Diving Boards <br />720 <br />21. .122 <br />23 24 <br />25 26 SAFETY EQUIPMENT Rasura Pole <br />Life Rings <br />Safety Signs <br />Lifeguard <br />Lighting Elec. <br />Ladders <br />Depth Markers <br />First Aid Kits <br />Gas Masks <br />27 1 28 <br />29 30 <br />31 132' <br />/ 33 <br />34: 35 <br />36' 37 <br />38 39 <br />40 41 <br />42 43 <br />(J) t.—..s <br />pi0 <br />cc° cc <br />Showers <br />Toilet & Dressing <br />Ventilation <br />44 45 <br />46 47 <br />48 49 POOL QUALITY Chlorine 50 <br />pH 51: <br />Cyanuratea 52 <br />Clarity 53. <br />Test Kits 54 <br />cc w <br />I 1- <br />0 <br />Supervision & Control 55' <br />General Sanitation 56 <br />Miscellaneous 57t <br />E <br />POOL <br />58 n G <br />STATUS: <br />59 <br />(MARK <br />F <br />. . <br />60 <br />ONE) <br />P H 61 c H 62 <br />l Ak \o/yvv <br />twuairv(01\ \y-,-1 <br />'PHS-EH 182 (6/96) <br />1 The marked items represent Health Code violations and must be correct e 3S <br />follows: <br />1 T1 () Q iC't U1`;(46\(\i ItYLeA l it(0,—AlUd ..C,:teti <br />2 c -i)f-ea_Alk‘ vt) alie-va-hkc 01/4),IplalAc <br />efrvu,viltAarTnATDeAe„ IA Gyi-C e.( vi,-wv. Provisda- <br />W 4/1611c <br />((ta t e) isv\ WG Vt92a Max07- <br />cAr-4( eilickAac a )1-1-tb- 4)\,c(lA 2eauvf-rit_'/(A <br />%) ig-iloti cD4 c, it) OAL( q- I - I iv\ (asit <br />? 1,01,1-1 i)ee_ -tylyctio-i si <br />c)131,1). ci,,e6(i I poK- .ori zo si )1 <br />6012AA4A ok" (-ft ciil eliotAr v ea6o71 N\ <IA D <br />biA0At-/U <19_1) Lex& bc6rce-r) -3-S ear\ <br />at cl,ti -bc <br />(A/ l 1,1 l'AA + 01/4 IMA L* <br />ID./' • ''S/ \v\ ?"qA 0.igAti Y\ 41 cir. tA l w _e <br />krK pi 1 , <br />OFFICE ADDRESS <br />304 EAST WEBER AVENUE, STOCKTON C <br />(NO MAIL IS RECEIVED AT THIS ADORES <br />TELEPHONE (209)468-3420 <br />ARIAN ..... <br />4 40 <br />1 OF