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ip <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <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: LAke /ty..J :5 Date: <br />Address: i51p 11 5(1 M l I IS Ave- . City: Zip Code: Gj 2+-( y <br />Owner/Operator. L.wkC:t , C tj <br />Al 11.4 -/}SS 4-f J, —, L Telephone: — <br />Program Element: 31vI Z Program Record: 6'�3f) 2-1 -7 6 3 2%$— InspectiorrType: ( � <br />Flow Rate (gpm):pH: <br />was4 h SIC_ <br />7.5 <br />Chlorine (ppm): Cyanuric Acid (ppm): <br />X2.5 cC <br />Temp: gD- <br />Reinspection on or after. <br />Other. <br />$� <br />loo <br />8.0 <br />q- <br />6 a« o <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ <br />Filters <br />�0(z5 <br />❑ <br />Pumps <br />_ <br />- 5 - <br />❑ Chlorinator <br />Flowmeter Flowmeter <br />/10 <br />❑ <br />Gauges <br />/S <br />❑ Skimmer & Gutters <br />❑ <br />Back Flow Prevention <br />GtrL o& / ee <br />❑ <br />Main Drain Cover <br />`w <br />Z I S `�-a 141 7 rte, <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />/ 1 <br />5kl�e 6GfS T CJ/✓LU✓e 4K / n <br />❑ <br />Pool Shell <br />t 5 P cGT/c12 <br />❑ Fencing/Gates <br />❑ <br />Decking & Coping <br />11 <br />GK / I /'uZ. t e.Lle I S c7 <br />El <br />Wade Pool - 2 Main Drains <br />Marr -i1 ce^ _. I ^ t j4a2/7 <br />SAFETY EQUIPMENT <br />❑ <br />Rescue Pole <br />rlk�h 6 ex <br />❑ Life Ring <br />❑ <br />Safety Signs <br />/ <br />S y`tr2 r f lS /WT INfj In Tr�Q <br />❑ <br />Lifeguard <br />O� L-yo4-1^N if �t,���• <br />❑ PooVDeck Lighting <br />❑ <br />Ladders/Hand Rails <br />L^Q _ Cw <br />C� <br />❑ <br />Depth Markers/Tiles <br />S c' t✓ pr -2a _ wo4 <br />❑ First Aid Kits <br />❑ <br />Emergency Shut-off Switch <br />RESTROOMS <br />l 5 +0.0 1,-3L--) , <br />❑ Showers <br />❑ <br />Toilet &Dressing <br />c< <br />❑ <br />Ventilation <br />/Q ✓e / S <br />1.. WATERQUALITYP <br />❑ <br />Chlorine <br />". vt c'� r vt G J %� ✓CPL % 7• Z — g , b <br />❑ <br />pH <br />❑ Cyanuric Acid <br />❑ <br />Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ <br />Supervision & Control <br />❑ General Sanitation <br />❑ <br />Algae <br />Influent: <br />2CV 'L C� <br />f� <br />Effluent: / (� (./ <br />Time ln: Z+O <br />Re eived B <br />Inspected by: <br />/!N <br />Time Out: 3,' r`�7 <br />v , - <br />EHD 38-01 5-8-12 SWIMMING POOL OIR Page-4of <br />