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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQ - N COUNTY PUBLIC HEALTH SE' -CES <br />EN N i_tONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS DATE <br />OWNER'S NAMEIDBA COMPUTER NUMBER <br />MAILING ADDRESS TIME IN <br />PERMIT /LICENSE PROGRAM 1 ELEMENT SERVICE TIME OUT <br />RATE OF FLOW pH CL. TEMP OTHER RECIRCULA TION EQUIPMENT 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 & Quality 17, 18. <br />Pipe & Fittings 19. <br />.----2- 0 Pool Shell 7/M20 <br />p•-• Bottom & Sides 21. 22 <br />0° 23 24 (3 ccD Decking & Coping <br />"'-- co Diving Boards 25 26. SAFETY EQUIPMENT Fissure Pole 271 28. <br />Life Flings <br />1 <br />29 30. <br />Safely Signs 31i 32 . <br />Lifeguard 433 <br />Lighting Elec. 34. 35 <br />Ladders 36' 37 <br />Depth Markers 36 39 <br />First Aid Kits 40. 41 <br />Gas Masks 42, 43 <br />(I) i— in ILI O <br />Showers <br />Toilet & Dressing <br />44, 45 <br />46: 47 <br />cc0 cc Ventilation 48, 49. POOL QUALITY Chlorine 50 <br />pH 51. <br />Cyanurates 52 <br />Clarity 53 , <br />Test Kits <br />cc SuO•eryislOn & Control <br />LIJ <br />I General Sanitation 56 <br />8 Miscellaneous 57, <br />POOL STATUS: ;MARK ONE) <br />58 60 61 62 ,59 <br />E G 1 F P C 1 <br />pHs.i..-r w•i:!2 tA/W <br />The marked items represent Health Code violations and must be correctei, as <br />follows: <br />IECEIvED BY: <br />41/ <br />ENVIRONMENTAL NEALTN SPECIAL [ST <br />PAGE OF