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o�,gul!r. SAN JOAQUIN COUNTY <br /> �1 EN�IrlONMENTAL HEALTH DEPARTNI. ,T <br /> _`• 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: //'Im mv <br /> Address: /;Mry/ kti City: STW,<ro/J Zip Code: Y16 <br /> Owner/Operator5' 1K�-pppy�� 14-C-I k I Telephone: <br /> Program Element: �Cr /� ,x.(2 Program Record Ro Gcjj q2 403GOZG 2 Inspection Type: Fot.,1TnX <br /> Ft(Y g� pH: -7 Chi 'ne,(ppm . e Cyan�ic iUppm): Temp: Reinspection on or after: <br /> (¢CJ L "(f y d. <br /> 571(Q/� ' y �• ' Q.a2 ¢'0,0 /D6�` Other: <br /> The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> El Pumps 79-1( Dols AkEAjoy iueoI-fj ( pts 41Iry l/ V CA)r A1/9 <br /> ❑ Chlorinator fl,rAI'iry( <br /> ❑ Flowmeter e r <br /> El Gauges '7 n.v ( Q dV 7NE5E QiL <br /> ❑ Skimmer&Gutterst~.71 <br /> ❑ Back Flow Prevention <br /> El Main Drain Cover tf'11�� df C'ory I.IAfN E uD r�7V �y 1 hf/S <br /> ❑ Equalizer Line Cover <br /> flNIjW(?jNSTRV_CT1ON,1 <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates 151l'fMWt&Q ��p7 DiS�rl9lvl6<�� /ti 'B11 'K <br /> ElDecking&Coping /J <br /> El Wade Pool-2 Main Drains /ZE SET LUE/R 7-O (2.O i"i�-Q r rs7 <br /> Cy9AVI Mfb <br /> ❑ Rescue Pole <br /> ❑ Life Ring ?Gcs� _ p� B64,60 160peeIr 41-1 A4C-S <br /> ❑ Safety Signs1(13T 4D / ( � <br /> El Lifeguard <br /> ❑ Pool/Deck Lighting `RS e�joez -rtcyU SfGN EYE /yE / 64 O/U <br /> ❑ _Ladders/Hand Rails <br /> ❑ Depth Markersrriles <br /> ❑ First Aid Kits CSSuR� �C'�SS U iTi_RTtI l0 s C(1641/ <br /> ❑ Emergency Shut-off Switch ' <br /> ❑ Showers /s 5741 .t REP9'(ZM >PRoPER I0+wr6014 <br /> ❑ Toilet& Dressing <br /> ❑ Ventilation <br /> LOW1 tl&tAP AJ!S5" CA 13c M 155 rNG- i.ti •J h'!/*r�'/FR <br /> ❑ Chlorine 6104.iII (VhNlFI71ii'/-E'L <br /> ❑ pH <br /> ❑ Cyanuric Acid 7o?74L clf 4 o kir NE f17- 0,20P,21 - R/115F 7b : 0_10(0 ROA .F <br /> Clarity v>iM <br /> El Test Kits / 6P /1�T 4' u C7 4cRrLE D n- . e <br /> E: L. :, I 7—nn Sms RJ IT-75 EN) oUbk>,- <br /> ❑ Supervision&Control s <br /> ❑ General Sanitation �O �O � ` /4 0 97T,11 F/ H009 wo-ty 2 11111 <br /> ❑ Algae ff O%h�SE <br /> T <br /> 8Time In: ,�. c d By: Insp et d by: <br /> Effluent: 300 - - / <br /> Time Out: 11�j b, . <br /> EHD 36-017-31-09 SWIMMING POOL OR Page_of <br />