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Pa '" SAN JOAQUIN COUNTY <br />y ?� ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />QrrFoa' <br />P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: GO d <br />A Date: -10-0 <br />Address:n <br />City: <br />Zip Code: z <br />Owner/Operator: yL, Poo I Telephone: 32 <br />Program Element: 2,f, 11Z Program Record: <br />03 O Inspection Type: "j— <br />Flow Rate (gpm): <br />Pool 7 <br />° <br />Pool �.� <br />7.0 <br />Chlo 'ne (ppm): <br />Poz 1 5pA <br />0.0 Fc- 0 <br />0.a Cr— o, <br />Cyanuric Acid (ppm): <br />Poo I 8a <br />5 '�— (5 <br />m <br />Tap: 4 <br />0. 10 14 <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetyCode Violations and must be corrected as indicated: <br />[]� <br />Filters <br />o 0D I A ri <br />5 a ch to r r i.. Lt u-eJ 3 cAy-f Loo <br />Q <br />Pumps <br />. A [0'b; <br />i [: P,-+ <br />[f" Chlorinator <br />Q <br />Flowmeter <br />V 2Q <br />v <br />O o t n• S- 10 -tr2 <br />[� <br />Gauges <br />a -O -1 Sfa art " <br />Skimmer & Gutters <br />❑ <br />Back Flow Prevention <br />m- <br />O r r <br />[]• <br />Main Drain Cover <br />[vT Equalizer Line Cover <br />CONSTRUCTION <br />ru vAr LA vi -a S <br />O 3-0 fc <br />Pool Shell <br />[� <br />Fencing/Gates <br />2.4 FC 1 , <br />[� <br />Decking & Coping <br />LS Lo,.x) • 10—e_4 J? <br />❑ Wade Pool - 2 Main Drains1201- <br />SAFETY EQUIPMENT <br />(-2 vjJ 0 -% •y <br />Q <br />Rescue Pole <br />�9 <br />3 Yp <br />b V O <br />Life Ring <br />Q <br />Safety Signs1-14 <br />Y"14 V-�e_ I&c <br />wt Y�L % rtts O.O <br />❑ <br />Lifeguard <br />Pool/Deck Lighting <br />Ladders/HandRails <br />c• <br />t e r ri <br />{C,. Pro Vi Lm rno.. - <br />Q <br />Depth MarkersfTiles <br />( <br />Le W i Corr <br />❑ First Aid Kits <br />[�- <br />Emergency Shut-off Switch <br />RESTROOMS <br />r <br />S n drewn CZV S a Lace-, <br />l,rrt <br />% Co rr"_41_0t <br />❑ Showers <br />[]' <br />Toilet & Dressing <br />11 <br />C,n e cn-F Gtr ['1 a <br />Q <br />Ventilation <br />a LA 2 <br />WATER QUALITYLis <br />Chlorine <br />L') .o n <br />2. ' u L <br />pH <br />[� <br />Cyanuric Acid <br />LO V2t' P r -O <br />rte- <br />10 1 w -,A< r <br />S l For 00 <br />[� <br />Clarity <br />Q Test Kits <br />MISCELLANEOUS <br />Q <br />Supervision & Control <br />YLO i-2 <br />'Eo <br />Q General Sanitation <br />Q <br />Algae <br />am } ch Lo ri % <br />Spm <br />Influent I I6ods <br />° <br />Effluent. 7 <br />17La.'Iara_.rl WQ`S YZ &ttad ClUfln bnSpeCl&yki- <br />Time In: � l Receiv y: <br />Time Out: 1 a :15 `1 �----•�� <br />Insp cted by: <br />'�'�1 / / <br />� / r� �� �'rMChcy� <br />EHD 36-01 05-29-2007 Page I of f <br />ckd> <br />