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zq,P A SAN JOAQUIN COUNTY <br />ENV.. tONMENTAL HEALTH DEPARTM—AT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209)_ 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: OrChn, d A V PAf, j( Date: 7—,2 9 _ <br />Address: rJ I e- U W V 11 City: VC rn a Zip Code: q <br />Owner/Operator: Loi S 4, Telephone: .36 • .7 D 9 <br />Program Element: 36) Program Record: 3 O /0 Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />FG -So CC.G•d <br />Cyanuric Acid (ppm): <br />7100 <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />TW marked violations represent Health &Safe Code Violations and must be corrected as indicated: <br />❑ ,, Filters <br />LJ Pumps --- - - - <br />I I P f C 1 �7 rnq 1 <br />, uh/1i� 7.0. /!/ 1G: b[ Io,hnn <br />�•.1 <br />—7Z� F', lJ Corrnci ��a1q <br />Chlorinator <br />EY Flowmeter <br />C a n ►;G G C: d of k r Orr 4 h., <br />Gauges <br />l Do r'rl ;f% J cr r <br />Skimmer & Gutters <br />Back Flow Prevention <br />S O aS o <br />Main Drain Cover <br />Equalizer Line Cover <br />r <br />Lois o + S : dor Webs i n <br />CONSTRUCTION <br />JJ rr� <br />roomU;JJcCa�i CK;n oW Me 4e,-) <br />Pool Shell <br />Fencing/Gates <br />A M o u t S. a1P r We b5 <br />Decking & Coping <br />p <br />R P SC t, o%C not eas I nccos3:lle, <br />E] Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />CG "re C -lo PG <br />Rescue Pole <br />Life Ring <br />EY Safety SignsI <br />❑ Lifeguard <br />P(� // <br />did rP33 a +aC i I: a G C iC ,; O r11 <br />/ <br />S. CC rrrta 4COG <br />C a 0 I h cc.,rj S45, U n a i l 8 <br />F-1Pool/Deck Lighting <br />EV Ladders/Hand Rails <br />C h 6C/ r.' C o °1 <br />Depth Markers/Tiles <br />r; C 4 C la Ck;i ' .2 -mei-. <br />Ey First Aid Kits <br />❑ Emergency Shut-off Switch <br />Pro v; Wee K S <br />---- RESTROOMS <br />g S , rM &10"-3 Ion i Va ) Ve QSSPrr1 b1 <br />❑ Showers <br />❑ Toilet & Dressing <br />I&C K$ 0- rin 0A 61 Choc K va.%P <br />❑ Ventilation <br />e pjare in PP )e5. <br />WATER QUALITY <br />2 Chlorine <br />[;�' pH <br />[,}r Cyanuric Acid <br />Clarity <br />[� Test Kits <br />.MISCELLANEOUS <br />[V Supervision & Control <br />EV General Sanitation <br />Algae <br />Influent: 1 T <br />Effluent: <br />Time In: 0�1a <br />Re ive'd By: <br />Inspec edrby: <br />Time Out: to'q <br />EHD 36-015-8-12 SWIMMING POOL OIR Page _ of <br />