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BUSINESS ADDRESS
<br />AL_Lz/o •( 0 q. '
<br />DATE
<br />7 -iC- 02-
<br />OWNER'S NAME ‘DBA
<br />VIALZA/ 1", ik: ofh-- bvt4- 104 Casf--
<br />COMPUTER NUMBER
<br />MAILING ADDRESS TIME IN 1
<br />'PERMIT/LICENSE PROGRAM / ELEMEN T SERVICE
<br />(i1,64-411'LL_,
<br />TIME OUT
<br />RATE OF FLOW
<br />v\I 2-54- 6- c — c .k
<br />PH
<br />. i - 2--v as+ CL - q,0 eco,
<br />TEMP
<br />,lNkS
<br />OTHER \____C, Li c f,
<br />i i "6°14
<br />eck ,,,t- Cc cm,f- 7; ca.,+- .7, 0 0, RECIRCULATION EQUIPMENT I kir SIR OPEN
<br />Filters
<br />Pumps
<br />Chlorinator
<br />Flowmeter
<br />Gauges
<br />Skimmer & Gutters
<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 />12 11
<br />13 14
<br />15! 16
<br />17, 18,
<br />19,
<br />Wa
<br />y ,
<br />20 CON- NI STRUCTIO Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21. . 22
<br />23 24
<br />25 26, SAFETY EQUIPMENT I Assure Pole
<br />Life Rings
<br />Safety Signs
<br />Lifeguard
<br />Lighting Elec.
<br />Ladders
<br />Depth Markers
<br />First Aid Kits
<br />Gas Masks
<br />271 28 ,
<br />29, 30.
<br />31 32 .
<br />34 35
<br />36 37
<br />38 39
<br />40. 41
<br />42, 43
<br />ri) 1- 01 w0 cco
<br />CC
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44, 45
<br />46 47
<br />48, 49. POOL QUALITY Chlorine
<br />pH
<br />Cyanurates
<br />Clarity
<br />Test Kits
<br />50
<br />51.
<br />52:
<br />53 ,
<br />
<br />cr Ul
<br />I I-
<br />0
<br />Supervision & Control
<br />General Sanitation
<br />Miscellaneous
<br />
<br />56
<br />57,
<br />POOL
<br />E n 58
<br />STATUS:
<br />Gi
<br />59
<br />(MARK
<br />F
<br />60 _
<br />ONE)
<br />P
<br />61
<br />C
<br />62
<br />. , n
<br />E5_.._ 1 ,,k -- 4_ LA Orli
<br />. 0 (VII
<br />OHS ril-, • .7 1 A1451
<br />_L -r..-- I 1 A — .
<br />The marked items represlent Health Code violations and must be correc'tea, as
<br />follows: Vik-S-1_
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<br />LCIRilit CI il'o;tif )i /./ i- /S
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<br />i\A CC( tt. f k LA--Ci c1 barti ---HZ -(3 7 r\
<br />R-7 671141 \AX-t'i k Ct 12-6 / L.,_c- L---/
<br />6 , IV) I) -el 0 L() • ---,
<br />i,V 10 -fit 4
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<br />cet 11,,,,16. 1o•,'6_ v\..eev i..., c-, (.7p I-1, .c.-i
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<br />q Fi t(1/1/27107/1 47 0-14' 6-1-)tia
<br />r.b., ,, k9-1( 0/b .
<br />EC IVED BY'
<br />j CielA
<br />t
<br />/ / I OteLeild
<br />EMIT7t.LEALTI. I
<br />PAGE 2_ CF 2--
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQ 7 'f COUNTY PUBLIC HEALTH SEF CES
<br />ENN,...ONMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
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