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SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />SAN JOAQ' N COUNTY PUBLIC HEALTH SEI- CES
<br />ENN, ,.....ONMENTAL 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,D:A
<br />n ,A (.. 3 rLeckA --h-er? -e -)--1 .4-
<br />COMPUTER NUMBER
<br />/2 12.0J (,00 I 7-- p p,
<br />MAILING ADDRESS
<br />tla Usid -o
<br />TIME IN
<br />* -
<br />-I
<br />PERMIT/LICENSE PROGRAM/ELEMENT
<br />I i /'.-)(01)-
<br />SERVICE
<br />-PI 61,11-1 ruL_
<br />TIME OUT
<br />RATE OF FLOW p c.,--E4_ Z 0 (.414
<br />Gi252-0
<br />PH pai
<br />`-)po—
<br />1.'1
<br />? . D
<br />CL pcb_t .2.
<br />S pc._ e...711-19 (4-
<br />TEMP
<br />0,--
<br />_ 5f) o.., 10 f --
<br />OTHER
<br />,c.,,i ,a
<br />rt D i/Lif
<br />5e o\--, 0--
<br />I 04
<br />frW 0 ,
<br />ezrYkio _e, RECIRCULATION EQUIPMENT STR OPER
<br />Filters
<br />Pumps
<br />Chlorinator
<br />Flowmeter
<br />Gauges
<br />Skimmer & Guiters
<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 />WA
<br />19, ;YM
<br />20 0
<br />it-
<br />0 0 0 D cc
<br />Pool Shell
<br />Bottom & Skies
<br />Decking & Coping
<br />Diving Boards
<br />21' . 22
<br />23 24
<br />25 26;
<br />28. SAFETY EQUIPMENT Resure Pole
<br />Life Flings
<br />Safety Signs
<br />Lifeguard
<br />Lighting Elec.
<br />Ladders
<br />Depth Markers
<br />First Aid Kits
<br />Gas Masks
<br />271
<br />29 30,
<br />31; 32'
<br />34: 35
<br />36' 37
<br />38 39
<br />40: 41
<br />42, 43
<br />(/) 1.--.
<br />c.n
<br />tiO
<br />CC
<br />Showers
<br />Toilet & Dressing
<br />Ventilation
<br />44, 45
<br />46: 47
<br />48; 49. POOL QUALITY Chlorine
<br />pH
<br />CYanurates
<br />Clarity
<br />Test Klts
<br />50
<br />51.
<br />52
<br />53 ,
<br />
<br />CC
<br />L.11
<br />2
<br />8
<br />Supervision & Control
<br />General Sanitation
<br />Miscellaneous
<br />
<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 />1
<br />Pis-J— i-41'- (1
<br />oy1- 0
<br />n VI e
<br />. 0
<br />DHC 7-:i-• • w2 rAtw
<br />The marked items represent Health Code violations and must be corrected, as
<br />follows:
<br />o
<br />. 0
<br />A.itLA iY1 0\-)2-1(- ct.„-uLf.,_
<br />
<br />I2 -V --p‘__e f) (R---(C
<br />cv„..st . r e-1,J
<br />L
<br />.---,
<br />0
<br />udJunr) e
<br />J1,61,_4-1 KR- b
<br />Nil (k/r1 AAA A . C.
<br />qii) k A - 1--esweAr ULA—e.,L, tc p
<br />1 ?r pm A-A-e .
<br />,7,------,_,,
<br />1 vu --oi-4 Lutp_e Q 6---GA 41-c ray otiur(_ --fu-r) CZI-T- - / \
<br />A_tv-rt b---k- ia-z -i-iA1-,20---r\ t ) . z - g - 0
<br />i:j)--illk ( 1 .. - rt, ,i'lLc-A
<br />ki - /-) filc,-,--.4-,;,11 Lf4-1,4-c h__L-6-,i_f2,2---- 2 • 0 -- IC) -DO (TA-
<br />-Th-t L-0-acii-ir-f /--e,Per EGIE.--r-t+ c11 -f-f47-.6-77C,12 4t ) r- -f-/- ,S)
<br />reA.-k-ci --(-Kek-,- , 1 0 - K9_92 Lti fk-rri CR._ Thrk
<br />,
<br />BY
<br />„Int7EAA L /I T C 1ST .
<br />"12-( pL Tm du,f-13,
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