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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQT - N COUNTY PUBLIC HEALTH SEF -CES
<br />ENN ..ONNIENTAL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />n 0 \ A.)
<br />DATE
<br />IC(vJA Q.
<br />OWNER'S NAME/DBA COMPUTER
<br />(AA -11Y/
<br />NUMBER
<br />MAILING ADDRESS TIME IN
<br />PERMIT/LICENSE PROGRAM! ELEMENT SGBviCE
<br />C°W\15 • kOkki
<br />TIME OUT
<br />RATE OF FLOW
<br />VW? +14"‘V‘ QD 40/
<br />pH
<br />7 2.."
<br />'CL•
<br />how )
<br />TEMP 01 HER c Liao v. t.4 ,N c, azq
<br />_ > 1 0 0 ,,, wv_
<br />(k S'ect5 0 Re, -Pm - tvt/iit 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, 7 CON- ST RUCTIO 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 />Life Rings
<br />Salety Signs
<br />Liteguard
<br />Lighting Elec.
<br />Ladders
<br />Depth Markers
<br />First Aid Klts
<br />Gas Masks
<br />27i 28.
<br />29 30,
<br />3 .1 32'
<br />i 433
<br />34. 35
<br />36' 37
<br />38 39
<br />40: 41
<br />42, 43
<br />co 1---5
<br />ujO cc° cc
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44 1 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 Lo
<br />I
<br />0
<br />Supervision & Control
<br />General Sanitation
<br />Miscellaneous
<br />
<br />56
<br />57,
<br />E
<br />POOL
<br />58 ..._
<br />,
<br />STATUS:
<br />G
<br />59
<br />I 1
<br />(MARK
<br />F
<br />60
<br />ONE)
<br />P
<br />61
<br />1 1 C
<br />62
<br />oHs _..,.., • o2 rg.tw
<br />The marked items represent Health Code violations and must be corrected., as
<br />follows:
<br />Cp OD 1511S ;,„x- ac_t1 .t a 1 W)1\1\ ci
<br />/ ( y Sec_ ve,v1 A' r rsQ.
<br />19°4‘‘' ID C e V2f12 -
<br />0 SfOiS °C.- /0111.(AC alicicke_ 'iv\ i .
<br />,A,),A1,44,„ 19tatig- et•Q1,,49,-2.- •
<br />C (9 1 3 4 j:e - A/ e
<br />,
<br />:L4 kl lb i r lc t„ ''k
<br />::ict
<br />Otyr(315'/I-11'5
<br />4:411' R-71:2 ,„ ,,,,, ,,,„ D M) t 0
<br />® novi witty 511.41,1 it554-1,,, 9,, ,3 'A 4- — la - . tktiel Outi
<br />Re,loc. -Plow okai2A -6 a,IOv1 j,e{ stch:io 0-
<br />iqe 40 cy,1- ain ck.cci,tv ott. vT.A.c,t ev.3.
<br />0 iDo tow IC,A15 -I Akirvt -7,2, loNi . ft btA---(-
<br />\veLo
<br />& CLfc,AkAidc, cr,c;) .1 s K-iv (0 0av\J
<br />n flak --A { (Atka (kiekv‘t A v -(‘ c akci‘c(2, -
<br />)kct2i r\ GIVA,ir\ COVQ/17 ‘'c, -41A)t) -1-61f.e.AAK •
<br />ellovih_ Cr've_.1•OS A5 At9 -114,i- c 4_14
<br />be .(e..4,1,0v c 1,11 -1-1)-6C
<br />BY RECEIVED BY
<br />NT L HEALTH SPECIA IST
<br />P E ! OF -2.----
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