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SWIMMP POOL OFFICIAL INSPECTION Rr -)RT <br />SAN JOAQIN COUNTY PUBLIC HEALTH SER., iCES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON, CA 95202 <br />(209) 468-3420 <br />BUSINESS ADDRESS <br />.z,'/_ 10 Nj .--Tr-abtli <br />.\i' <br />DATE <br />L s() 1 t9 DT I <br />OWNER'S <br />—Fc_a_c <br />NAmE/DBATctiv.,-K_ <br /> <br />o <br />(pi <br />COMPUTER UMBER <br />MAILING ADORE TIME IN <br />PERMIT/LICENSE PROORM&ALEMENT <br />(1; i 1 <br />,c-stirlEiltri)v ' TIME OUT <br />RATE OF FLOW <br />itlitt" .' <br />PH CL- <br />i <br />TEMP OTHER <br />1 <br />C (.0) v\A- RECIRCULATION EQUIPMENT 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 />15! 16 <br />17, 18, <br />19, <br />Wa20 <br />W//' - - -C-0-1 \ F. --.. STRUCTIO Pool Shell <br />Bottom & Sides <br />Decking & Coping <br />Diving Boards <br />21' • 22 <br />23 24 <br />25. 26. SAFETY EQUIPMENT 1 Assure 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 />27 28. <br />29' 30, <br />31; 32' <br />34' 35 <br />36' 37 <br />38 39 <br />40: 41 <br />42, 43 <br />ln F-2 <br />ul,... <br />ctO <br />M <br />Showers <br />, e 011131 & Dressing <br />Ventilation <br />44, 45 <br />46! 47 <br />48; 49. POOL QUALITY Chlorine <br />pli <br />Cyanurates <br />Clarity <br />Test Kits <br />50 <br />51 . <br />52. <br />53 , <br />54' <br />CC 1..tJ <br />I <br />0 <br />Suoervislon & Control <br />General Sanitation <br />miscellaneous <br />55! <br />56 <br />57. <br />E <br />POOL <br />58 <br />STATUS: <br />G n <br />59 <br />(MARK <br />F ri 60 <br />ONE) <br />F rm 61 <br />_n <br />62 <br />'2534r <br />H-/- 'YT igq51 <br />The marked items represent Health Code violations and must be corrected, as <br />follows: <br />(OPLIN rifIrkC- Si\ACi.---. <br />. _ ql li/X. <br />V\ t+ &_0- -7>AIL - i , <br />-12Leka (.7( 6t,k_&2A 00 k , <br />ScpAAcc_ ( (.2 no-V oAttmlitbLe - - - U( <br />,( q) Ov(equid-h-) - -2-c)1(-1--(;4 c\A k4- <br />-7---) , <br />rizoitt 1,1\60 1`4,-vT 1,1'-i-c DP D is-ri Vrt , <br /> 2, <br />1,,b}ircikri; izi cAk1 eck-4-e,,t. ti 2\1 <br />i A EIVE,Deantex _,..1 <br />'TAI. C sr <br />e• <br />PAGE / OF (