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SAN JOAQUIN COUNTY <br /> e E RONMENTAL HEALTH DEPART :NT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> F:.. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility:dD Q5 P ],l/E / f,vF R,S Date: (D <br /> Address: 835- 4L4 1AJ City: (rib( Zip Code: ?5-Z'10 <br /> Owner/Operator: N7 StOkC (MC7o9 — Telephone: 33 Sf-/5-$0 <br /> Program Element: ;Cel( 3G I Zrogram Record:Pip 5(0 36o 2.32 Inspection Type: Rut477tiF <br /> P/t Flow Rat ): l 7 e- C tori e( pmy Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> 3•Z 0,20' CESS Tllgy '3 Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters -pf/5 �MO(A,lrc1 !S 57'/c.I.. A(57?--D UNDER -HF /ZFvb <br /> ❑ Pumps <br /> ❑ Chlorinator /UI?r�C- f9 ND OruAJ(5R, $ _OrvE fzO TN r5 .9PrL/Ty <br /> ❑ Flowmeter <br /> Gauges. MUST Go ro T c- C �D /�E 4T GJ c)0 E M✓j r n/ S 1 <br /> ❑ <br /> ❑ <br /> Skimmer&Gutters �jTo@ ( 7o/1J , YC-r. tr) S P/91D <br /> ❑ Back Flow Prevention �} <br /> E] Main Drain Cover /' NEW _R K ( N K" F R A'I tAS.7- JOE I,(&U r Ik D 79 r <br /> ❑ Equalizer Line Cover 1//1)D FORM 5o q I /1�u5 T j'E <br /> CONSTRUCTIQ` <br /> ❑ Pool Shell I ljt,Eu7 0 u!- TIT S /5 6 0Yj91VvE J OWNER M� <br /> ❑ Fencing/Gates 5 CORREQ— (0-23-11 <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains 71nJG �A1l'l NftbSlNr, /AJ1J(SfW1il �'l*&r9e6 ( CdE/C <br /> SAFETY EQUIPMENT,.. <br /> ❑ Rescue Pole "-4e- <br /> 0 <br /> .,� <br /> E] Life Ring ® &04T i l.vf z55"Vd- /At SA11MMER RC"-4E <br /> ❑ Safety signs SPF ACT K-5 /No F 2 516„V/9GC '"oQJ <br /> El Lifeguard / A AJOAIVJ6 (J�F <br /> ❑ Pool/Deck Lighting C HoukS O RA7oAJ D C� 1 FOJZ H t p,-C R bt:A10 t 4770N <br /> ❑ Ladders/Hand Rails �� �2EH <br /> E] Depth Markers(Tiles <br /> ❑ First Aid Kits R76L / o P'mAE 4ji7-ry / ,Bp <br /> ❑ Emergency Shut-off Switch ,lJR�vf <br /> ,RESTR00MS. VV O J <br /> ❑ Showers ll S j0jojER r 73(+7cs 7Wer W67R, Pt-PIlmc <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation TH/S M z j�G <br /> ❑ Chlorine <br /> ❑ pH RAA <br /> ❑ Cyanuric Acid <br /> ❑ Clarity �r <br /> El Test Kits �1JVE J't'STRIt V �, 4'fa 6:9ue¢ lJ<1n7EDrgrcu r <br /> ❑ Supervision &Control <br /> ❑ General Sanitation C*M NAI- 77-t 57 40(r, 7,g K(- PH r9 vi) (7f/4c74 &F C/'f y ro,AZ <br /> ❑ Algae T<--S 7 !5 Awl Kk1oO7hn - Pcs(rc7.5 P19/.c <br /> t, 5 <br /> Influent: <br /> � � N/jA/( Time In: /;/� ReA�eived By: Insp ct by: <br /> Effluent <br /> Time Out: 2 ;JV ' �.IJVLl7- MkW-(_., II <br /> EHD 36-017-31-09 SWIMMING POOL OIR Page—Ld <br />