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<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOA N COUNTY PUBLIC HEALTH SF 'ICES
<br />ENVIRONMENTAL HEALTH DIVISIOI.
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />- (209)468-3420
<br />keq--01754
<br />^-,..., NJIJU N. 1 ''' ' 4 -1-.Ye ..1,
<br />BUSINESS ADDRESS
<br />
<br />3 1 T
<br />NAME/DEA
<br />
<br />DATE
<br />1 1237ie
<br />IA 0
<br />UR NUMB ROWNERS
<br />1 '''''6'rele.. .1
<br />MAILING ADDRESS
<br />io Kn fi_ 4- " evis ., i nclesif-m a--/,‘ (f-_,E,-y-
<br />TIME IN
<br />PERMIT/LICENSE -MENT -4r EnvicE
<br />r
<br />G el leCielt
<br />TIME OUT
<br />RATE OF FLOW OH CL TEMP OTHER STRUCTION CON- RECIRCULATION EQUIPMENT 1 STR OPER
<br />Fillers
<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 />15i 16
<br />17, 18, ,
<br />a:/5/A 7
<br />Pool Shell
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />,7iff, 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 Kits
<br />Gas Masks
<br />33
<br />271 28:
<br />291 30:
<br />311 32*
<br />v 4
<br />34, 35
<br />35: 37
<br />38 39
<br />40, 41.
<br />42, 43
<br />ta 1-2
<br />up.. ccO CC
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44, 45
<br />46'1 47
<br />48; 49, POOL QUALITY Chlorine
<br />pii
<br />Cyanurates
<br />Clarity
<br />Test Kits
<br />50
<br />51,
<br />52 !
<br />531
<br />54'
<br />a: w
<br />X I--
<br />0
<br />Supervision & Control
<br />General Sanitation
<br />Miscellaneous
<br />55:
<br />56
<br />57,
<br />POOL
<br />EE
<br />58
<br />STATUS:
<br />Gn
<br />59
<br />(MARK
<br />F
<br />60 _
<br />ONE)
<br />P
<br />61 ._....
<br />C
<br />62 _
<br />PIS-EH t92 (8/951
<br />The marked items represent Health Code violations and must be corrected, as
<br />follows:
<br />-)e,if 1-72 c.51A-V A--
<br />-V9 14, P. 5(A, .-F ikr- /WI
<br />1 ti.p. -IA, 60,,,k,,,
<br />iv, 44, -r-,4,„) 6 ift r49046u24,ciet_O cycz, 444/LC )
<br />b4o.4.41.- -1-tuz, flya.4%. Cl- C vtejiinn 1+4,111
<br />
<br />, 0
<br />1 A ' 10 ' x _ AA _. .
<br />`.P1 0 IA) OktiVi e5 0 0{444•J CiejMIZA-41ft-n-
<br />'VI? vQ.N.e,/ k9 .e N-, 4-1A"ii A ri p4A-Le.-, 5
<br />v,,,e_/(:.,, 5 -f.t L c 1 •IeS arLe_ Coe-iyt 5
<br />vt,i.t.ki .14- i 9 4,06 )
<br />otsL;ArY) --k6 o K--- 3-e- ,
<br />-fir -
<br />-- -Kt- 3 -eFs-..skted ne.t- h'e e --t ,
<br />gs,6447 rt(;) 'Pat 4,4,re,
<br />et,
<br />I ill
<br />1._
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<br />RE5,i,kED BY:
<br />.4e-Le<seti
<br />Al. IIEALTII SPECIALAST
<br />A.,
<br />P E OF
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