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eSIYAN <br />.,7 r;Tt-1,,, ",•,,, alio.. <br />e, <br />• <br />Cre 6 ..... <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARI MENT <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 />V i Ku_ Jfriza-- Name ofof Facility: p-1--1 Date gl i <br />Address: s 9 <br />Owner/Operator: <br />&-. C Vine (f City: tad/ Zip Code: <br />to catia.V', 6 (a dli Telephone: cis-I—s- b q 0 <br />Program Element: 31Jl 1 •-m•Prograin Record:- 63 (17 07;tf Inspection Type: repeliyied <br /> Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after: <br />Other: <br />!REQ. i iic U LAT ID N EQUIPMENT ' The marked violations represent Health & Safety Code Violations and must be correctpd as indicated: <br />Filters )20 i ipele-e ov a-7-1 ked- ' frith-0 sa( pt Pumps <br />Chlorinator i OUtthi 40 tear-tea40 . <br />M Flowmeter <br />Gauges — S e f -P - avs(1-1) illv•O Va I -AP il ati4Avukeinit-cd \ <br />Skimmer & Gutters 9 ake, rya) 0.4-- 46 lib tcA4tyivi7 ;€ , Kellett in-.' i <br />Back Flow Prevention <br />Ikwure.- WWV---rmo DI& 11A-X-- inthAN frt. (/‘ tp Main Drain Cover ten <br />Equalizer Line Cover I is-ck-fts ( 40 IV a et a tau i-ed ntwf- VO1A+714) <br />J <br />CONSTRUCTION- — <br />Pool Shell () 0 — V(IA7 I a cfr- f vitt ati-- r k.,, strwte—v , <br />Fencing/Gates tit/ LPQ <br />M Decking & Coping <br />Wade Pool — 2 Main Drains Dip*. 141 a/settlf-J- a v-e -- ( e . ( ote A . <br />SA.PE-TY EQ01-PMENT <br />C &AAA ALPO' mailet We vei k-04 scto <br />Rescue Pole <br />Life Ring V1 fi to Le ( ifriow/u t.=./ Ch <br />Safety Signs <br />Lifeguard <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />Depth Markersailes <br />0 First Aid Kits <br />Emergency Shut-off Switch <br />H.'RE8TROOM,S - <br />M Showers <br />NI Toilet & Dressing <br />Ventilation <br />— --1vV.ATta: -QuALify <br />Chlorine <br />M pH <br />Cyanuric Acid <br />M Clarity <br />E Test Kits <br />ntiSbELL?!kNEOBS . <br />Supervision & Control <br />E General Sanitation <br />E Algae <br />Influent: 4 <br />Time In: 9 lov Rec d 8' : Inspected by: <br />Effluent: Time Out: S -, I9--a Vlt/ ii--.1, <br />END 36-01 5-8-12 SWIMMING POOL OIR <br /> Page of