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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQ' -N COUNTY PUBLIC HEALTH SET ICES
<br />ENN ...cONMENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />0 3 c
<br />DATE
<br />OWNER'S NAME/ DBA
<br />IM •-.A-6` el) C ,,k_c,,,,L.—
<br />COMPUTER NUMBER
<br />MAILING ADDRESS
<br />s oo-i-A-t . ..... T1csr-b R
<br />TIME IN 1
<br />,
<br />' PERMIT 1 LiGENSE PROGRAM/ELEMENT SERVICE
<br />(2-61,•.:44 A-17.--)
<br />TIME OUT
<br />RATE OFft.9(1.5 \ ___37S-30,3,‘
<br />eD0 4--- 14 c-Zt /)1(n.
<br />pH f e...t) \ _ 7. it
<br />%/GK.— 7. 0
<br />CL. c oy \ _ 1 , 0
<br />50e.--- '4 -°
<br />TEMP OTHER G-Lic
<br />go /VIA RECIRCULATION EQUIPMENT I SIR OPER
<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 />11 12
<br />13 14
<br />15, 16
<br />17, 18.
<br />19,
<br />W/7/
<br />'77
<br />20 CON- I STRUCTION Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21. . 22
<br />23 24
<br />25 26 , SAFETY EQUIPMENT Resure 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 />31i 32'
<br />:7
<br />'33
<br />34, 35
<br />36' 37
<br />38 39
<br />40, 41
<br />42, 43
<br />0
<br />cn u10
<br />cco cc
<br />showers
<br />Toilet & Dressing
<br />Ventilation
<br />44 i 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 />cC U,
<br />I
<br />0
<br />Super•ision & Control
<br />General Sanitation
<br />Miscellaneous
<br />56 :
<br />
<br />57,
<br />E
<br />POOL
<br />58 n
<br />STATUS:
<br />G
<br />59
<br />(MARK
<br />F
<br />60
<br />ri
<br />ONE)
<br />P
<br />61
<br />C
<br />I-
<br />62 r
<br />Qrbl f,,1 rvr
<br />\cr I
<br />c 01-45 ? 1;.&:,1^ 'P'9 , ___.., :
<br />T he he marked items represent Health Code violations and must be corrected, as
<br />follows:
<br />C i '1 t li ot'U i , I l'(,4,-{ (e tirl-th..4 11.3104-'-ed
<br />(2) C4it7A&A- 2,0 irt- • kat" C-11 1107/7U- ‘t:-/- /, 3---CD
<br />f th -E--
<br />-0 5 oc-c -kalyt. fim- L S DiA-e-01---,P,i--t prt 4t-t,-;-,
<br />z------ 2 i r ; r, c y /eat ,, /,,,,eit / /i7,-,
<br />5-J2ev;ce it-t roc „,1,,, c( isr,te-1 ,e,ik if fz,-Lk
<br />5A-0-Krv.,0 A) ° f I C-
<br />I-7) Pcil.t.' iti fa p p( lo oidI 1 ,11 11) CI4114 1 S
<br />)
<br />.5 ktiN Ne-{1\lbika (—UVZ 'VC) a"--k- CY'LC
<br />tv
<br />vv.
<br />N-/ ekk VAL._L5) C.,1 6 4_4 i / Lit 4-6-
<br />0') 7 - it' tik 't c,7 ki ,-k. C pr, n e, 7 c- k" iPt it'S-g/- •
<br />11421--C We C / •
<br />. 0 Al ApeA-- iin-idt ,
<br />by tp- 0-02-
<br />/10-e 4.) ,(,1 ,f ,,, , f f, v ., frite-OZ&14.4 --1.
<br />lea dhvy 712' ICC/ i-u,---12.1, I r f 72
<br />
<br />mi 4,tfi. 1 -1/ te ii kJ?, .
<br />6 PECE V
<br />
<br />C Aktail IC ClCitc,f h i .' 11 &I c p 4- ‘
<br />rot ()) d vcA-t,:tf b -o-v1
<br />j I VCe
<br />PULSE SPECIALIST
<br />PA E '-) OF .27
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