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ip <br /> SAN JOAQUIN COUNTY <br /> ENVii,JNMENTAL HEALTH DEPARTMENT1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL <br /> nn OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1-6 nS wf`2 rt a�1'mebL Date: -Z`6- /Z- <br /> Address: <br /> Z`6- /ZAddress: 7j F t,^, city: Zip Code: �jSZI <br /> Owner/Operator: S ti GLoe Telephone: <br /> Program Element: 36/ 3cOfajerogram Record: O 2(, o3Gc3l Y L. Inspection Type:anuric Acid -- <br /> FINw.Rater-HA(gpm): pH: N0 r v^ Chlorine(ppm): Cyanuric (ppm): Temp: Reinspection on or after: <br /> NA -7• g'2 /O LG /--I 0 Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator 1 Th2 s'S <br /> ❑ Flowmeter <br /> ❑ Gauges o c f r , -er�/ anQ <br /> ❑ Skimmer&Gutters z IoeT'�25� of 0c�� (2a5 �trt'� c(�c{S <br /> ❑ Back Flow Prevention �I <br /> ❑ Main Drain Cover e eQ tt^e (c0 ^^ J . <br /> ❑ Equalizer Line Cover TAP- <br /> CONSTRUCTION <br /> CONSTRUCTION - <br /> ❑ Pool Shell -e to LkPnet,, fQ-C cCj- -(Cb/2 <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping 1 c�2cicl t LLaS fp FS st Cl Ctc c S s �t� <br /> ❑ Wade Pool-2 Main Drains Tkv Ccao2f Pig kcc- 56.+ rP- <br /> . cr�c 4s <br /> EQUIPMENT <br /> El Rescue Pole C-r'c �S mh CcJ COI <br /> ❑ Life Ring I �� I�fiu r£ d t mer h 4 } fah Z <br /> ❑ Safety Signs <br /> ❑ Lifeguard �4 <br /> ❑ Pool/Deck Lighting ;5 5'�-C G�— CA-e,-E/C(- ft.SL <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits Fo Y2an�r IcaSu ✓/L7�4�/GH 0. <br /> ❑ Emergency Shut-off Switch t <br /> RESTROOMS I✓`2c+ <br /> ❑ Showers Ecz e SZ <br /> ❑ Toilet&Dressing <br /> El _Ventilation d c-4-Pr i's n o t Cl1 <br /> ea " <br /> aI�, L ra Ci,, IS ek eN+ Vt_5 '6 Clete � -6'a WoL <br /> ❑ Chlorine 2 <br /> [IpH Ci0orl;--Q - O 0Er \ F 7 <br /> ❑ Cyanuric Acid Ci r ur1 t 4Ct�y 00 fle-. <br /> ❑ Clarity / <br /> ❑ Test Kits <br /> MISCELLANEOUS ,11 Ck <br /> ❑ Supervision &Control <br /> ❑ General Sanitation1/iQ c Gat 4 r r C- <br /> E] <br /> ❑ Algae le/0(,) /U O . 1960 14f nn Kia r r-� <br /> N f <br /> Influent: tar P(j �/� a,rl--l'c-� q �r' v,•tr2t2�S S�L2C S <br /> '^ Recei d By: � nspected by: <br /> Time In: M <br /> l0i L/— •// '-I <br /> Effluent: 5 Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR 1' u� Page t of� <br />