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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERvICES <br />ENV )NMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR' <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS <br />1540 RO 50•-iC- '\)) c-t• <br />DATE <br />OWNER'S NAME ,OBA <br />s• A (.5N roc, <br />COMPUTER NUMBER <br />MAILING ADDRESS <br />TIME IN <br />PERMIT/LICENSE PROGRAM/ELEMENT SERVICE <br />'-kfli'•CI5VeCiji <br /> <br />- <br />TIME OUT <br />RATE OF FLOW RATE PH <br />8 + <br />CL. 4,-8 clpity‘ TEMP OTHER Lk3cik-L,w-ii( osiA ... <br />i3O ven <br />The marked items represent Health Code visDilations and must be correctet qs. <br />follows: * Tb:l. I S Cia(fa +M.—M-0 SeUSOP •IZQop-QPS 1q6L VcO\ <br />0 -1 -0 a b 0- nu-efi- g a Adpsk v ti teve I be_fwa-)n VII <br />Oros ruutt s eacon. i <br />at ftWit 'IS ern pi-y • PrIct 1( 0 V4 occvirt'L, VeSAN-0-ot'n 50q spp <br />1-)1 asLici - s t, (ASO n • <br />G Pmv,c-tQ_ a p00 prcopanul S;Cy1 it] /6 -16 -04- <br />0..)i boev ena slcirirTaiUk 6 ri-v.,,s.sn) 6 11J461. P rovici j <br />0 51c,itoccust noar , C -p. sik,rn , is mi,ssin9 <br />1 cLe t,i_tv tioai as3e 4 <br />— 16 -0-1. S mcil 0-61-1 : mArie 1-1 10 <br />10 FL( otn-94-en_ apptqlki) MI- i-ko b-e. pit to kny. Ito ic <br />CA- Ap-A cflukcti-cin bj 10 -1(,--c)(4. f <br />\I ck,Irw.r-, k-4 A (,) \-40M-t \ifq n C CM-Lo ( 4e et <br />"rku \osk knve (*ion <br />a 4.3 0 oe ecutz4c Troop .F;vss piks <br />purne - 1 liP 1}o-Af tiockivd <br />, <br />RECEIVED Bil ill <br />.10 <br />PI IITAL MALIN SPECIALIST <br />itA—R.,e4 Oc • <br />PAGE OF I RECIRCULATION EQUIPMENT SIR I OPEN <br />Fillers <br />Pumps <br />Chlorinator <br />Flowmeter <br />Gauges <br />Skimmer & Gutter, <br />Back Flow Prevention <br />Waste Water Prevention <br />Water Supply & Quality <br />Plpe & 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. CON- STRUCTION Pool Shell <br />Bottom & Sides <br />Decking & Coping <br />Diving Boards <br />20 <br />21 . 22 <br />23 24 <br />25 26. SAFETY EQUIPMENT Fissure Pole <br />Life Rings <br />Safety Signs <br />Lifeguard <br />Lighting Elec. <br />Ladders <br />Depth Markers <br />First Aid KII3 <br />Gas Masks <br />271 28. <br />29' 30, <br />31; 32' <br />1433 <br />34' 35 <br />36' 37 <br />38 39 <br />40: 41 <br />42, 43 <br />(f) 1---c <br />or` w0 <br />cr0 <br />CC <br />Showers <br />Toilet & Dressing <br />Ventilation <br />44, 45 <br />46' 47 <br />48; 49. POOL 1 QUALITY 1 Chlorine 50 <br />pH 51. <br />Cyanurates 52 <br />Clarity 53 <br />Test Klt3 <br />CC <br />Ul <br />S <br />Suo-ernslon & Control <br />General Sanitation <br /> <br />.--- <br />56 <br />E MIscellaneOus 57. <br />POOL <br />Er l <br />STATUS: <br />58. <br />G <br /> 1 <br />59 <br />(MARK <br />P <br />60 <br />ONE) <br />P <br />61 <br />C <br />62 <br />I <br /> <br />Al psi tm.cl• <br /> <br />9 p.5 <br /> <br />€c0.