|
die
<br />PERMIT I LICENSE
<br />)
<br />PROGRAM IELEMENT
<br />// /3i2, /2-
<br />S ICE
<br />/61/017
<br />'.(g CL. 'pool i ret
<br />Gaiot-h 0
<br />0 TEMP
<br />jf /-1 '2°
<br />kit g
<br />MAiliNG ADDRESS
<br />RATE OF FLOW700
<br />BUSINESS ADDRESS
<br />OW t TVS NAME.,DBA
<br />TIME OUT
<br />OTHER 700
<br />yoL„,
<br />DATE
<br />75.6z 3
<br />COMPUTER NUMBER
<br /> c, 9
<br />TIME IN
<br />-
<br />The marked items represent Health Code violations and must be corrected, as
<br />follows:
<br />11 iCr i i lk i t: I 5 <
<br />I - , I /
<br />---ii-t-t i -r s c 1 i ,t MAI ,S I' ' k e_zr x
<br />1
<br />1, ..S -Id 00 Cx•Yl-d '71-1-1/4 -- "6:-//1„-reKt .47_114.11-U -7 ---, rp1.--1
<br />o
<br />u / I
<br />(1. s? 6t, 0 ii -6 I 6, ti4. 1 i .-.-A/r,:,
<br />.0.S..e.-
<br />0 I. ( 11 0 1 4-ei 0 r 1---1 /- r---<7 14.i.- c....,‘ e-1 CZ. / z-elA - 1-
<br />i. 1 • /BAP • )a 5.
<br />6.) • I fa' ' z e ) /77" 4-, _. a i e ile - ,,,,ofx-_,) kSt,
<br />--) ? ( "i-e-t_ L4 -1 C'.: /11._43--Y-L-- "160 tv,). 191 -t. 4,
<br />V,- c -4 t .4„1:- t ,-. --/e--1 Li k\-, -S (--7,1.
<br />C; I
<br />a 2)-.).-1 ILI. { , ,7,,,-ii-,-7-7 ),-,.‹ ....7- it
<br />of •._)
<br />V /Is _79-../ (
<br />,----, , ,u 61 1 ,'44J2& -i- 7 --,c / 6 ( :1'_ il f a.,
<br />i•l- ket,rp J
<br />I-) ;1t0oz-i-re AA.
<br />,
<br />ECElVED BY
<br />->
<br />71[7,7' 771?Ac11-21./ildri)
<br />PAGE / i OF so. 1 :)) RECIRCULATION EQUIPMENT 1 STIR OPER
<br />Filters
<br />Pumps
<br />Chlorinator
<br />Flowmeter
<br />Gauges
<br />Skimmer & Guitars
<br />Back Flow Prevention
<br />Waste Water Preveniion
<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. ST RUM IO Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21: . 22
<br />23 24 ,
<br />25 26 , SAFETY EQUIPMENT Rasura Pole
<br />Lite 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 />31 32
<br />Wg.33
<br />34, 35
<br />36' 37
<br />38 39
<br />40. 41.
<br />42, 43
<br />0 1--m
<br />20
<br />LEO CC
<br />Showers
<br /> Toilet .4, Dressing
<br />Ventilation
<br />44 1 45
<br />46: 47
<br />48i 49. POOL QUALITY Chlorine
<br />pH
<br />Cyenurales
<br />Clarity
<br />Test Kits
<br />50
<br />51•
<br />52.
<br />53 ,
<br />
<br />t.t
<br />U1
<br />I
<br />IT5
<br />Supervision & Control
<br />Genoral Sanitation
<br />Miscellaneous
<br />
<br />56
<br />57.
<br />POOL STATUS:
<br />58 /
<br />G
<br />59
<br />MARK
<br />F
<br />poo
<br />60
<br />ONE)
<br />I
<br /> P H
<br />61
<br />5p
<br />C I
<br />62
<br />la
<br />RHIT.7...1-, • •Tf,.
<br />ENN irtONATENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
|