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SAN JOAQUIN COUNTY
<br />ENVIriONMENTAL HEALTH DEPARTMENT
<br />1868 East HazeIton Avenue, Stockton, CA 95205-6232
<br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd
<br />SWIMMING POOL O-FFICIAL INSPECTION REPORT
<br />Name of Facility: leIS f hi Ve OW/) L: e Date: -7: .-13- j 9
<br />Address: 13S ,S 14' ) )J/i: (,,City: -7; :7, 9 Zip Code: 9Sjc cf
<br />Owner/Operator: eadi 14 Kt 0 i4; -,,,- ,- A .1;c• c; a I; 0;1 Telephone: CI it-q-2 .5 , 70 Cd
<br />Program Element: 3i, // /j0.2 Program Record: s-.:2: / .7ecr/ s 2 i7 c i / j2 /.7c.i. Inspection Type: RcL. /:6-f
<br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after:
<br />(j; C) ) i Other:
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />rz Filters a.; • ,3 ii-"7 V Pumps
<br />i0 0 -T:n _S cs 1) ,-,i hYll-bz.:-/I ckeeK
<br />-.
<br />trucked L2' Chlorinator
<br />LIT Flowmeter
<br />li CI I 1/2 S 0 A t lc !: -k Itt p /Y1 Ca 5 5 f re) h I), .3. . Dtf Gauges
<br />geplcfcc ; A 2 0 e e K.s. ly Skimmer & Gutters
<br />2// Back Flow Prevention ..n. 43 rd fe. et .5 ; n Vi.) c; .1 t r. 6 I c 4. C Ci A 1 Ail Main Drain Cover
<br />2 Equalizer Line Cover
<br />CONSTRUCTION
<br />Ch lot;n o ; S i , ,r • 0 la 1 WI Dfi Pool Shell
<br />J ,14' a 0 ( A -11.) '1' 'J ur Fencing/Gates
<br />12 Decking & Coping
<br />Pool p I/ - 0 Fe,- 3-r (..-e-0.0 cty in A- ar- Wade Pool -2 Main Drains
<br />h' 0 Pt:. b 4 b ie. . r d ft e i 5 ;,1 il 0 lletA) e' el SAFETY EQUIPMENT
<br />Rescue Pole
<br />C 1 C.` ( 0 h d s nee W f c e l10 3 0 f I yy) Re- c 14 e V‘ Life Ring
<br /> C h ler;At iS i.,,., ia /ill t X - /o 4 Safety Signs
<br />1r , Lifeguard ---
<br />- 1...i• )(,,:k.S ,43 0() 4. I Li C S t h 0 4 d ra : I i 11 •Ii'fk 2 }//, Pool/Deck Lighting U
<br />,I
<br />oi e : ,k),, A ic ,,,, I- vr, I vi e4:5 ,vi k.) _A)
<br />Ladders/Hand Rails
<br />IIV Depth Markers/Tiles
<br />• First Aid Kits
<br />Emergency Shut-off Switch
<br />id- /3 i 3 rill- i 7 5 if - 5 RESTROOMS 1
<br />4.(4.,
<br />I' 1"-'1
<br />I= c_a,c) 4;z- 0 a.. .9/7 EP" Showers
<br />Dr,Toilet & Dressing
<br />(0 rf 2 z: (/ I a /.: At ept 0,0. ,ilia; A lo; r1 ILI/ Ventilation
<br />-G P ,' C h is ,; A e 41$ I. 4.r..- la C I
<br />WATER QUALITY
<br />Le" Chlorine
<br />a (.:011 Er V pH
<br />-;* 74;s5;frxy- C h 2c t ti 0 i VC CI I. I 400 .1- 1117Cyanuric Acid
<br />1j7/ Clarity ,/ tia/c-c. ci S3- ea-AJg.i., CC/ re c 4- i "1 I Lee c %._ Di Test Kits
<br />r - Tg r i,) fyi e lee rul t u ne 1;,„;,y, pe p a;,^ i A 1 WeeK MISCELLANEOUS
<br />Pr Supervision & Control
<br />Pirrsisej Dr-General Sanitation
<br />0 4:-Ce ht. /Iv % r Li/Algae r;„, ti rqz: n.k. u) C yet, I .
<br />Influent: sr ,-
<br />Effluent:
<br />' J r 1
<br />-IK('-is . r• . 1411 6
<br />Time In: y- al 7FrEce-i-v.. By: Inlpefteid by: .••• •
<br />Time Out: Out: I: j q
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR Rage of 7
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