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SAN JOAQUIN COUNTY <br />EN\thiONMENTAL HEALTH DEPARTh IT <br />1868 East HazeIton Avenue, Stockton, CA 9520o-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: -v3'7 ba,„-- ( itikk.4---v (lei/ i,...k.:__ Date: (1 / V <br />Address: (,) yc vb ,e--01 lor c d(1.--0 City: ‘rir ti Zip Code: <br />Owner/Operator: (1/1/20v"r4 6,9 vo j. /i Telephone: <br />Program Element: 0 il Program Record: 0 s; isi 0 0 ; I Inspection Type: iel,rth kl.-( <br />Flow Rate (gpm): <br />51 <br />pH: Chlorine (ppm): <br />(ef re—ei '0 e.t.-- <br />yanuric Acid (ppm): <br />7P <br />Temp: Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Filters <br />0 0 Oh .froAf 617N 1 - -- 4 1 4;/- 1,4_ VII Hatr'(-- • Pumps <br />Ofi P.fivi I a, p if6Lto-1 e p yi--e- (7. fr4if 0 • Chlorinator <br />• Flowmeter <br />/ IN eiwv) , p ktv) 4-0 IN Gauges <br />NV IC i I rt-t C4/fic4— e3( fr, el pi p.-1- III Skimmer & Gutters <br />• Back Flow Prevention nd-i- .vo Gype,a . t 0 0 1 pv/1/I - • Main Drain Cover <br />4.6 e IV Pe d vaz_t fr.ktet (4.- VI d Equalizer Line Cover Equalizer <br />CONSTRUCTION <br />beaa if I 12- Eft t ,dhe k vtAtMc.. I I Pool Shell <br />aligegr C-1014k1U-6( ' wev4_ qii he . Fencing/Gates <br />• Decking & Coping <br />OderiStk / a I SWYI 01( r PZ/V4 i Wade Pool -2 Main Drains <br />( Yiljit t 4r-kt /J "kt-rib-& eilkfl- SAFETY EQUIPMENT <br />• Rescue Pole Is ir 14,eis-- he? 249 rd ) IN Life Ring .11. <br />I Safety Signs <br />MI Lifeguard <br />• Pool/Deck Lighting <br />• Ladders/Hand Rails <br />M Depth Markers/Tiles <br />II First Aid Kits <br />Emergency Shut-off Switch <br />RESTROOMS <br />• Showers <br />• Toilet & Dressing <br />Ventilation <br />WATER QUALITY <br />• Chlorine <br />• pH <br />• Cyanuric Acid <br />• Clarity <br />• Test Kits <br />MISCELLANEOUS <br />Supervision & Control <br />II General Sanitation <br />. Algae <br />Influent: / LI <br />Effluent: i 1) <br />Time In: /0 -q <br />Received • Inspected by: <br />Time Out:( I _, 0 v / (*-t•R h/vii---(4_, <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page of 4_