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SwimmiNG POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQU , "20UNTY PUBLIC HEALTH SER‘ 'ES
<br />ENVIANMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />1540 it-t 0 SA-t c- .S-1-0CR-7-6.j 477-5:24- •
<br />DATE
<br />1(zgi as
<br />OWNER'S NAMEIDRA i COMPUTER r4lItAtiEli
<br />'744- 3 0 2:73
<br />VC /6 ET-1 4-.^.) PA gd--K--- 4-"/C6Q---Pte"i i
<br />MAILING ADDRESS TImE IN
<br />PERMIT/ LICENSE PROGRAnniELEmENT SERVICE
<br />36 , 2_ e e 1 IJ-C17-C---77
<br />TimE OW
<br />,....)
<br />RATE OF FLOvv CL. - TEAR., 01PItH
<br />6
<br />The marked items represent Health Cooe violations and must be correctect as
<br />follows:
<br />4J o. Waste, e/ o- ei-- '40 Ce ce- ez/4-4..erse_ sA(e:Le i---. t. et (
<br />/...t th.c r 6 f.e i"..r....ectc _s-,4-k.-_,___,.. -,f ( di -se-)
<br />cl- "tet-,1:49 c i.....,d (-ft ‘1,--t-c. lq-C /4 ia •
<br />,
<br />sk-_,...,,,,,. e feLe-k--c. cc ....4?-, , ' i.- ,,,e...t 6") ,E,,e_c -f--
<br />Lit-i 'fl 44(0A
<br />60111 =A_t_e-te._ ern, di* ,pi.-, ere i ( (-Pa...1i 'Tess yeAD
<br />ay._ ct ci...)a‘i-to-c-- ct a ‘47 /47-4._ •-•e?.. fpt942.0 cri-e ,. ce
<br />Al 0 4 .ti 0 4-e-,-- Le
<br />RECEIVE° av .-
<br />EvvIvuv hi , uaast
<br />PAGE OF RECIRCULATION EQUIPMENT SIR UPEll
<br />FillniS
<br />Pumps
<br />Chlorinator
<br />Flowmeter
<br />Gauges
<br />Skimmer & Guile/a
<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. V
<br />2 0
<br />=..
<br />0(-) o D cc
<br />1- Lr)
<br />Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21 - . 22
<br />23 24
<br />25 26. SAFETY EQUIPMENT Assure Pole
<br />Lite Rings
<br />&airily 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 />,,..7 / /./ 33
<br />34, 35
<br />36' 37
<br />38 39
<br />40; 41
<br />42, 43
<br />En 1---s
<br />tiJO cc 0
<br />CC
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44, 45
<br />46: 147
<br />48; 149. POOL I QUALITY 1 Chlorine
<br />pH
<br />Cyenurates
<br />Clarity
<br />Test Klts
<br />50
<br />51.
<br />52
<br />53 ,
<br />54'
<br />cc w
<br />I -..- (:)
<br />Suo-erviaion & Control
<br />General Sanitation
<br />miscellaneous
<br />,55'
<br />56 ]
<br />57.
<br />E
<br />POOL
<br />58
<br />1
<br />_
<br />STATUS:
<br />G
<br />59
<br />MARK
<br />F
<br />60
<br />ONE)
<br />P
<br />--,____. 61
<br />1 C
<br />62
<br />L n.l., 7,1-4 • 07 ;gr*i
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