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SERVICE
<br />RUST IliCENSE
<br />PROGRAM !ELEMENT
<br />,. VT LiY.LIVL.LikJ' A A-• 'LAX A' AA-. A 111E+ 111 JA AVIL•A VA% A
<br />SAN JOAQUIN_ COUNTY PUBLIC HEALTH SERVIcES
<br />ENVI NMENTAL HEALTH DIVISION
<br />304 FAS.' WEBER AVENUE, THIRD FLOOR
<br />STOCKTON, CA 95202
<br />(209) 468-3420
<br />INES S ADDRESS
<br />/NEWS NAMEIDBA
<br />.iurrG ADDRESS
<br />COMPUTER NUMBER
<br />TIME IN
<br />T(oo c) • Wo.s.k.
<br />TEMP
<br />The marked items represent Health Code violations and must be correctui as
<br />follows:
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<br />t:If„ TT el f y IS 16
<br />,
<br />coi-rici 6 9 Opirkill pig li._ _ d
<br />Kr) c-r_otiAts.:1-4 1 i•villliit •44:‘, z-mtAt. 5 au A 01.14-,1.
<br />411,-, , .ft4_, , 0
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<br />ECEIVED BY
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<br />------- 41/ 1141
<br />PAGE OF
<br />I ‘
<br />TE OF FLOW I CU' 2,4 ppm occ-mbi.,te-
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<br />c.t..4 aCtric
<br />9 7-4' fk:01
<br />-i•c‘
<br />,tvr-4.1 45,
<br />.
<br />STA OPEN
<br />,
<br />; Filters
<br />i Pumps
<br />i chlorinator
<br />1
<br />1 Flowmeter
<br />3 Gauges
<br />- Skimmer & Goiters
<br />c
<br />J Back Flow Prevention )
<br />i Waste Water Prevention
<br />5 water Supply & Ouatliy
<br />..! -
<br />
<br />Pipe & Fittings
<br />1 2
<br />3 4
<br />5 6
<br />7 6
<br />9 . 10
<br />11 12
<br />13 14
<br />15; 16
<br />17. 18.
<br />19 ..
<br />y,0
<br />y z.
<br />20 Z Pool Shell 0
<br />— Bottom & Sloes ...)
<br />D Decking & Coping
<br />x
<br />' Diving gourds
<br />21: . 22
<br />23 24
<br />25 26.
<br />Rectum Pole
<br />; Life Rings
<br />5 ,2 Safety Signs
<br />..;' Lifeguard
<br />3 Lighting Elec.
<br />: Ladders
<br />LI Depth Markers
<br />( First Aid Kits o
<br />G83 masks
<br />271 28.
<br />29 30,
<br />31; 32'
<br />Vg33
<br />34. ___ 35
<br />36' 37
<br />38 39
<br />40: 41
<br />42, 43
<br />cr) Showers 2
<br />0 Toilet & Dressing
<br />0 cc Ventilation
<br />44, 45
<br />46 47
<br />48, 49.
<br />Chlorine
<br />>- i•-• PH
<br />:I < Cyanurates
<br />D 0 Clarity
<br />Test kits
<br />50
<br />51,
<br />52:
<br />53.
<br />, 54'
<br />C SuoslonsIon & Control
<br />Li
<br />C General Sanitation _
<br />) miscellaneous
<br />55!
<br />56
<br />57.
<br />POOL
<br />:ri
<br />STATUS:
<br />GI I
<br />MARK
<br />F
<br />60
<br />ONE)
<br />P
<br />61
<br />.--- C
<br />62
<br />-7 1 1
<br />.1.11.t.Lty ill. of tyi
<br />RA,T, t1uEl.t
<br />nr, rptp,g1
<br />DATE
<br />6 1 1 2 0 .3
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