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SAN JOAQUIN COUNTY <br /> e a <br /> ENVIKONMENTAL HEALTH DEPARTMEvi <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: 1=lA Date: <br /> Address: 6 120 tlj, City: i Zip Code: Is Z Z <br /> ` �q Telephone: 339 -9300 <br /> Owner/Operator: -G l I I �4sh (" �4"`�^ l_�l'rcj ' <br /> Program Element: 361 t 1 22rogram Record: p-%2 4 S5 2 Lf`CSS- Inspection Type: -R-L} (VL.L <br /> Flow Rate( pm): pH:Poo I S Pl'� Chlorine(ppm)): Cyyanuric Acids(pp(n): FTep: Reinspection on or after: <br /> Peo 1 5( u P Pool P� (moaIa -70 8.0 7.� 12.5 ;Ss 40 -1- 100-1- r: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters pOv J <br /> ❑ Pumps 1 ` f <br /> ❑ Chlorinator 0 (ke�L1�rrt� Ie� 6, <br /> � ! 5 r <br /> ❑ Flowmeter 2 �S prn <br /> ❑ Gauges 11 <br /> El � <br /> Skimmer&Gutters 2 c �N Leve I'S -t-tj�> bl;zA . Q¢ <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover Z - Z <br /> E] Equalizer Line Cover Ctp 0tr(G qC r-4 eLe� S �c� tit ` <br /> CONSTRUCTION t( <br /> ❑ Pool Shell �-�-K eq e t0 %^,v 12r" IC7C» h•. <br /> ❑ Fencing/Gates LI e ua 1S ,b iia <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains Rerr •lQ o 5 YGl/ r <br /> SAFETY EQUIPMENT y t f- �r-e �, <br /> ❑ Rescue Pole <br /> ❑ Life Ring r,� 1 <br /> O rg-corJS oGt 514 keeP flEcOrJ o nSl�c <br /> ❑ Safety Signs S <br /> ❑ Lifeguard <br /> El Pool/Deck Lighting D Tom_ a � � I evt' � foo h1T 2e d 1e\,21- <br /> ❑ Ladders/Hand Rails -L ^ .to <br /> ❑ Depth Markers/Tiles r <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> Sll«ik- a 5 a 4u^ reduce ��•Iu�r <br /> ❑ Showers 2 4 /b n4"1t0 Yin e br `-✓zL ` <br /> ❑ Toilet&Dressing <br /> F-1Ventilation3 C G^`+" ' CI '1-eve I 's Foo I'll k . )QA LkC'e <br /> c,,e u V.cl.QrV ra r-� nr.�t Imo.ca w ak,r• <br /> ❑ Chlorine '97) <br /> El pH (-ilA �a9 r5 c.+154 �O 0-r <br /> ❑ Cyanuric Acid Q I( , , r �q(/ bH S' I-Q/ / <br /> ❑ Clarity <br /> E] Test Kits d ''7<7� Q 5`1�grnGcl a <br /> MISCELLANEOUS --- Pao( <br /> ❑ Supervision&Control <br /> ❑ General Sanitation PL,h - — g fS Rt 1 /2- <br /> El <br /> ❑ Algae -0;'I fee 5 5.x-3 <br /> Influent: PW I S P� ,�„pyo v✓12�5o1-t ^I� — <br /> Z�- 20 <br /> Received qBy: In pacts <br /> Time In: 16)/5— <br /> b��'V�•--� �\ <br /> Effluent: L fTime Out: ' / , y5 .1 / // 1 ` <br /> 3 /v'LG�b'In/ <br /> EHD 36-015-8-12 SWIMMING POOL ORPage_of <br />