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SWIMMING POOL OFFICIAL INSPECTION REPORT <br />SAN JOAc - -N COUNTY PUBLIC HEALTH SE. ICES <br />EN"-rtONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS DATE <br />OWNER'S NAME/OBA <br />Lk)A....14'.'" 41.: e I A cl:,.,...,,,,_ <br />COMPUTER NUMBER <br />MAILING ADDRESS I TIME IN <br />PERMIT/LICENSE PROGRAM / ELEMENT SE5yICE <br />Ka lAk‘Pric±-14 \ N'I <br />TIME OUT <br />RATE OF FLOW pH CL TEMP OTHER <br />_ RECIRCULATION EQUIPMENT I STR 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 />M20 CON- I STRUCTIO4 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 />Ute 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 />311 32 . <br />./-/.33 <br />34: 35 <br />36' 37 <br />38 39 <br />40; 41 <br />42, 43 <br />co 1-2 <br />w..., cr0 tr <br />showers <br />v iollet & Dressing <br />Ventilation <br />44, 45 <br />46 47 <br />48; 49. <br />_jr <br />0:1 o< <br />am 0 <br />Chlorine <br />pH <br />Cyanurates <br />Clarity <br />Test Klts <br />50 <br /> <br /> <br />53 , <br /> <br />cc Ill <br />X <br />0 <br />Supervision & Control <br />General Sanitation <br />Miscellaneous <br /> <br />56 <br />57, <br />E <br />POOL <br />58 — <br />STATUS: <br />GP <br />59 <br />(MARK <br />Fn <br />60 <br />ONE) <br />p <br />61 ri cri <br />62 <br />—4.,..2.tc. <br />The marked items represent Health Code violations and must be corrected, as <br />follows: <br />0 Ocke c p- .4)11 v\-Q-Leka- ce_+- _c-1-9 k <br />(c,' , or__ <br />eit, a , Q <br />kfeetiNtz-v L i 5- - n --.2- • <br />..c- ., v LK_ 5 ,_ c kity66t.t_ f . C 9 ()'ik Ce.,_ t <br />-,kt) 2--c! c 9 ,AA- 6\+- c--(2-( -f-;.1-4-0-1 , <br />,,---3.)4- LW-Lk- <br />111''Q •' )0&-li e 4-, ' , (1 (y4 t,r ? <br />0 ‘ 0 ,,I4k p ctre. o "Aelt) c/(1/e7 ), <br />,S b..--e.ce bcj _ & 0 c f in 1),(- c . <br />C(-4 ,1 <br />(`') <br />r r%\,, <br /> <br />Le-vl <br />4.ive) . r i_ <br />RECE ED BY: \ <br />T L 'MALIN SPECIALIST <br />iNA-A.42,V.VO <br />Pr CF /