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SWIMML• 'OOL OFFICIAL INSPECTION RF'RT <br />SAN JOAQuIN COUNTY PUBLIC HEALTH SEls. ES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS <br />Da, Noifet::_ 41 -Water <br />DA17, i <br /> <br />LC i 60 <br />OWNR'S NAME/DBA t_Izt, <br />4711 _k- In (CTAIV) N <br />COMPUTE NUMBER <br />MAILING ...DOR SS TIME IN <br />PERMIT/LICENSE PROGRAM/ELEMENT <br />-3t4' 1.2- <br />_ap.,FIVICE <br />2--6 ith fUL ' <br />TIME OUT <br />RATE OF FLOW ac /4--wi . PH CL- <br />i i . IL 12 V1V\ I <br />TEMP OTHER <br />0 i- v <br />c LD RECIRCULATION EQUIPMENT J` SIR OPER <br />Filters 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 & Gustily 17, 18, <br />Pipe & Fittings 19, CON- ST RUCTIO Pool Shell WA 20 <br />Bottom & Sides 21' . 22 <br />Decking & Coping 23 24 <br />Diving Boards 25 26. SAFETY EQUIPMENT Resure Pole 27i 28. <br />Life Rings 29! 30, <br />Safety Signs 311 32 . <br />Lifeguard M33 <br />Lighting Elec. 34, 35 <br />Ladders 36' 37 <br />Depth Markers 38 39' <br />First Aid Kits 40: 41 <br />Gas Masks 42 t 43 <br />(I) Showers 44, 45 <br />Cf) ujO <br />II— <br />MOCC <br />Toilet & Dressing <br />Ventilation <br />46 47 <br />48, 49. POOL 1 QUALITY i Chlorine 50 <br />pH <br />Cyanurates <br />Clarity <br />Test Kits <br />cr Suoervision & Control <br />Ul <br />I General Sanitation 56 <br />C3- miscellaneous 57. <br />POOL STATUS: (MARK ONE) <br />E <br />58 --1 59 60 <br />G pi F P <br />61 62 n c <br />LLAAA— <br />'.2 (A/W <br />(iltA,1 /40 <br />The marked items represent Health Code violations and must be corrected, as <br />follows: <br />G)c-pk, i,,,L tiks --A-t b-c-,4,6ittk,)-.issliveci . <br />› 1 c ,, Lt wx .v\ b\\k-J6 , <br />' RI C\AVVA,vu- cd- 6 do i f aN .T.CLLI-C‘ If \,- _ --1 _ <br />4101 AqtM1,1 4 2-0 WC,t), rty14, <br />Atty\10016M (iruc ,--- <br />--\--iA ii\i'70-0(L. o, C*4(itik.k) A ch(6iocivut' by, ic 1 1 i (>0 <br />I[ . . - 1 /.1( Hi) -7,z -1. /,`-. T vf (di lop, <br />, <br />nu WiLIP___ • u(ct_ )6A (ti-t---av.k s 4 OAA , <br />MO- vkein-O-A-U ZW S4C -46 CalAfelt V i-C, <br />1,1 <br />REC: jeer <br />Afir -- . V .iojr '- r to fr , - — _ s._ * <br />40.1" t ALL T im , -- <br />PA --' i OF i