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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQI COUNTY PUBLIC HEALTH SER. ES
<br />ENVIKONMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />477 - 357/ / 5-5-5- /Le o 4( c s-r-oc4--rt,-)
<br />DATE
<br />7 9162 I
<br />OWNER'S NAmE,DBA /
<br />
<br />elCitc Cl_ .14-,... t/ E _&../ E-77 4-,-.J 6-76:2-4 e,...) /-10 ,9 ik-t - F
<br />COMPUTER NUMBER
<br />p ,e_ 3400 5-37
<br />MAILING ADDRESS 1-11._
<br />AV (..- ss /-s-
<br />TIME IN
<br />PERMIDUCENSE PROGRAM i ELEMENT
<br />3C-., /2_
<br />SERVICE TIME OUT
<br />RiErn./...cAc-776"..)
<br />RATE OF FLOW PH CL- TEMP OTHER
<br />"E'4-.7- )a(,0(_ RECIRCULATION EQUIPMENT I SIR OPEN
<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,
<br />W20
<br />‘W'
<br />7 o
<br />ii--
<br />0 0 0D cc
<br />/— to
<br />Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21- " 22
<br />23 24
<br />25 26. SAFETY EQUIPMENT I Fissure 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 />271 28.
<br />29' 30,
<br />31i 32 .
<br />W33
<br />34. 35
<br />36' 37
<br />38 39
<br />40: 41
<br />42, 43
<br />0 1-2
<br />alo
<br />ccO CC
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44, 45
<br />46 47
<br />48; 49. POOL QUALITY Chlorine
<br />pH
<br />Cyanurates
<br />Clarity
<br />Test Kits
<br />50
<br />51.
<br />52
<br />53.
<br />
<br />CC La
<br />I I.-- o
<br />Supervision 6 Control
<br />General Sanitation
<br />miscellaneous
<br />
<br />56
<br />57,
<br />E
<br />POOL
<br />58 n
<br />STATUS:
<br />G
<br />59
<br />(MARK
<br />F
<br />60 n
<br />ONE)
<br />P
<br />61
<br />C
<br />62
<br />_
<br />0I-4,c7:‘, . .7 ,,'-45)
<br />The marked items represent Health Code violations and must be corrected- as The
<br />follows:
<br />40 a t C los- e Ad a --I- 47 ._. Cf f vt-Clai) CYr ca--- 4.- a-e",,,L, .-.., .
<br />a i- a d t t•-€ c.-1-r 1-4-,f-A,-,----S 1Le et,C14411-- ((f+) I . jLk tom,
<br />si-- ,,i- 0". _e,c, „ a.t . S ( CNA. 1 ‘C, ( iL-q-- di- 44/1.4elecite e'ru..4,-1-+
<br />G40.1 sr•e_c ed,2 yi
<br />S ( Ott c>12 ,1 p tA I titil, 4144.fro6 . 4,i---:ii scai,a 6? ''' cee 6'1' afre krtteS
<br />U),-+t-._ c 1 -e ,---(e: ._ky 7 I I
<br />Ov., r-f ,,C-04_ - d_ee, _e.,4/ ka,ce v-a (Ix ( ot0,4-6_1.,,G2
<br />e-C I &ose ......G ca ..-e ,-/- i,-/-/ 1 ik/c3 -
<br />C-3) 14 16,-e- .14-tii --Fch.,,,,/ al, sei 4 A 4 . vit e_4.- -4 ter
<br />if /3 1*(), - igett- 0,- 4.(6.'" ,CCI'"ge-.k cc a ( sa e
<br />(4) t30 ,..,;_e , ...._ t i:-- -4," &II C - i IAAw•l_.....-- CNA. v I._ c ..-.441/4 _ 2 (C(t C 16
<br />00 1 - -P,,, v, cc, LA.....e , b 7 1/4-403. 10
<br />-1"-r-0 Ikz ,.-Y - 4, la ci, , we* (IL2) itt)e, /(p e--;.r.., ,./.1,76-e_ is- ...S
<br />0.:./ reLee-c-i- --14-0 ,ka! (14-e--- 0 -{ *40 f Le / •
<br />eo .1,-e, y- A ,c A--, -
<br />Of.ve,/ I 4 c , a C. iP--C 1-f-c t al- 4104--c)34f1 fr-c.. , _ ,
<br />1
<br />cis 4E) s+a .4-tt I 0-f a ". wa‘te...- 4...0-4-e ---gA,...d
<br />l'ot,t,,feld.: a v.ce t 4--C Cen.A. A-telt c-,:- -4e, 44-0_ it..C.-144'shet.k 1 otk'S
<br />.-
<br />RECEIVED BY
<br />_ t. LI AtiSe/
<br />Vivi I HEW IALIST
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