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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQ 7 r COUNTY PUBLIC HEALTH SEF ("L'ES
<br />ENVI..ONMENT AL HEALTH DIVISION
<br />304 EAST WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />BUSINESS ADDRESS
<br />2”0 ----,
<br />I, 01/4./.....t.lc
<br />DATE
<br />_5-- -
<br />OWNER'S NAME/08A ,......./ COMPUTER NUMBER
<br />MAILING ACORESS
<br />i
<br />TIME IN
<br />PERMIT/LICENSE PROGRAM / ELEMEN T SERVICE TIME OUT
<br />RATE OF FLOW OH CL TEMP OTHER RECIRCULATION EQUIPMENT I SIR OPER
<br />Fillers
<br />Pumps
<br />Chlorinator
<br />Fiowmeter
<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
<br />i 7
<br />2 0
<br />it--
<br />0 0 0 D cc
<br />co
<br />Pool Shell Pool
<br />Bottom & Sides
<br />Decking & Coping
<br />Diving Boards
<br />21. 22
<br />23 24
<br />25 26 , SAFETY EQUIPMENT Rasura Pole
<br />Life Rings
<br />Safely Signs
<br />Lifeguard
<br />Lighting Elec.
<br />Ladders
<br />Depth Markers
<br />First Aid Kits
<br />Gas Masks
<br />27i 28. ,t
<br />29 30,\J
<br />31
<br />/1,g-33 -4 /
<br />34 . 35 i
<br />36' 37
<br />38 39
<br />40. 41
<br />42, 43
<br />co i-m ul ui0
<br />cc0 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 />54'
<br />cc l./1
<br />I
<br />8
<br />Supervision & Control
<br />General Sanitation
<br />Miscellaneous
<br />55' -
<br />56
<br />57,
<br />E
<br />POOL
<br />58 _
<br />STATUS
<br />G
<br />59
<br />(MARK
<br />F
<br />60
<br />ONE)
<br />P
<br />61
<br />C
<br />62
<br />Ml.,-, .- - - ..I • ,17, cal,))
<br />The marked items represent Health Code violations and must be correctel as
<br />follows:
<br />0 Tiff)-Vat Sot) 0.13 tt- p.e4 +ow d 4use..e14_ ecs r ,
<br />iv, ImiNts 1_ IA) 01,,,,...12A4s {,t_is 4_1(170 vtA_ .
<br />h },u2A aAt 6,,,kc. 1 rn —f14.4_ frbpJav-
<br />6- p vev5 . ?ibla...12, aut4): — k-1:11 CA^-.kic---f kt•%.'"^-4---
<br />6 erv eA7`" -C".(> 196-tk_ 6 VIA-1/i121r Ct kiCi 1 --<),( I trleS 0
<br />6Ceielf { u\ /zit --ki f 1 .4 7 _ — 0 A.tii v -ersi-ove—)14
<br />osi-K_
<br />C) Pc 91 k) y LAAJ2Aj IDDM, C Lk- Vve vAll be no
<br />ve- - of-ov\12-. , jiga-Qt. tb adLe_6 ,A.a 1 6-1Ds. C
<br />r crik UCt oC tA-Y-Q-- DR*" '47) 194).
<br />70CA C-1 (X 64 tA Act', I "44 r 4 2 r Crere e-o.c 1 o s e,
<br />b ,a -Ce....."c eS D-4- IA) li cov,G-iYukc-4-,\IYI
<br />(,% % 4 icrz-vvv it‘, c ) , r
<br />4 Co -61- Ito i- vAlitl . fint cleo-rt
<br />ar\ol cfetAi ,,4 .4-; AA-R. of i gAiNzt -hAr---
<br />Oek:ris (weelfd gy" alak AITIII -C l);D 1 ci-YIY,
<br />(2.t- rt7-7fe(rt*s't' 0 /K
<br />,t -F-4-Gc Co — 1 Li•-• 0 1
<br />CtAf2-e 'i-
<br />, ,(
<br />\i 0 kA. tila.tR... CtiN
<br />- --U ___ • _____ q V e54ArY\ (D Ala 7-oi L
<br />2
<br />RE•EIVED BY
<br />1
<br />Ellii TA EAL TN SPECIALIST
<br />PA E
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