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SNA tAINtliNt, PuOL. OE, m.L:it, iiNet.A.: 1 ION KEPOK I
<br />SAN JOAQ' \flia)CNTY PUBLIC HEALTH SEMI,
<br />ENN „.111,1ENTAL HEALTH DIVISIOW
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS lUATE
<br />i
<br />OWNER'S NAME,DEIA I COMPUTER NumbEFT
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<br />MAILING ADDRESS ri
<br /><
<br />TIME IN
<br />PERMIT /LICENSE PROCifikki/ELEmENT SErivICE TIME OUT
<br />RATE OF FLOW ,, .,
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<br />CL. 'FLAW OINtH
<br />The marked iterns represent Health Code violations and must be correcttzt, as
<br />follows:
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<br />RECEIVED
<br />--7
<br />WWI MiAl ticALTit srECIALIsT
<br />POE OF 2_ RECIRCULATION EQUIPMENT SIN OPEN
<br />Filleis
<br />Pumps
<br />critormator
<br />Flowmeter
<br />SaugeS
<br />Skimmer & Guitett3
<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 CON- STRUCTION Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />M 20
<br />21: 22
<br />23 24
<br />25 26. SAFETY EQUIPMENT Resure Pole
<br />Lite Rings
<br />Saltily 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; 32'
<br />, i / A33
<br />34. 35
<br />36 ' 37
<br />38 39
<br />40: 41
<br />42, 43
<br />U) 1-- -5 cn —ujO
<br />cc 0 cc
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44, 45
<br />46: 47
<br />48; 49. POOL 1 QUALITY Chlorine
<br />pH
<br />Cyanurates
<br />Clarity
<br />Test Kits
<br />50
<br />
<br />
<br />53 ,
<br />
<br />CC Ul
<br />2
<br />0
<br />StitaervieiOn & Control
<br />General Sanitation
<br />MIscelianeous
<br />
<br />56
<br />57.
<br />E
<br />POOL 5TATUS:
<br />• r G
<br />59
<br />(MARK
<br />F
<br />60 --
<br />ONE)
<br />P
<br />61
<br />i C
<br />62
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