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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQ - N COUNTY PUBLIC HEALTH SE: CES
<br />ENN 3NMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />L.70 ttiN W 00 (A,4_) fri. a o te-C-tk
<br />DATE
<br />(4,I L, )05
<br />OWNER'S NAmE,OBA
<br />IMCKIA k C te't tvw\
<br />wAPuTER NUMBER
<br />rki. 3c. o 376-i Y
<br />MAILING ADDRESS TIME IN
<br />PERMIT/LICENSE PROGRAM/ELEMENT
<br />5.1k \ ' ebeLl
<br />SERVICE .
<br />0 I
<br />TIME OUT
<br />RATE OF FLOW PH •
<br />lc?.
<br />CL
<br />IQ. 2_ pp AN
<br />TEMP
<br />-`1`) k=--
<br />on-TR . ....,
<br />
<br />6-1114-0 0 ro
<br />el‘ RECIRCULATION EQUIPMENT I SIR OPER
<br />Fillers
<br />Pumpa
<br />Chlorinator
<br />Flowmeter
<br />Gauges
<br />Skimmer & Gutter,
<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 />20
<br />/ CON- NI STRUCTIO Pool Sh ell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21. 22
<br />23 24
<br />25 26. SAFETY EQUIPMENT I Assure 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 />27i 28 .
<br />29 , 30,
<br />311 32'
<br />/1,33
<br />34 , 35
<br />36' 37
<br />38 39
<br />40: 41
<br />42, 43
<br />fn 1--cn ujo
<br />ccO Cr
<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 Ill
<br />I
<br />0
<br />Supervision 6 control
<br />General Sanitation
<br />MIscellanaouS
<br />
<br />56 ]
<br />57,
<br />E
<br />POOL
<br />58
<br />STATUS:
<br />G
<br />59
<br />(MARK
<br />F
<br />60 n
<br />ONE)
<br />P
<br />61
<br />C
<br />62
<br />ox-k _
<br />t S 1
<br />-
<br />The marked items represent Health Code violations and must be correctei as
<br />, ,f/ert1-Ow\s:
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<br />12 41
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