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SAN JOAQUIN COUNTY <br />ENV' -)NMENTAL HEALTH DEPARTM' T <br />1868 Eat Hazelton Avenue, Stockton, CA 95205-u232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br /> <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Date: <br />Address: C, Pam o City: &I-0061°n Zip Code: (:12_0(0 <br />Name of Facility: oct.4-0-T1 IssAkifl -sACMQ <br />Owner/Operator: o cioc11-1-6n <br />Program Element: Itoi Program Record: plz 6 -6k00 <br />Flow Rate (gpm): pH: <br />1- 2 <br />Chlorine (ppm): <br />1.2- EC' <br />0 • 1- C L/ <br />Cyanuric Acid (ppm): Temp: <br />Inspection Type: 12---(Nt ite <br />Other: <br />Telephone: <br />Reinspection on or after: <br />• <br />REClRCULATION EQUIPMENT The marked violations represent Health & atety L.,oae violations arm must ye WI f etAeU ,=1 iiiuit..citcu. <br />N 17P-ov icta coo y ono yc-c yu Filters <br />Pumps <br />170A1-) rnelP f\i‘i op-eiry C r6c1-roaii. . IN Chlorinator <br />Flowmeter <br />27 Gauges <br />(--) 12‘2-0/ la -teik-12--v va\;.- -mc-o.a, 0 6157,exgar- Er Skimmer & Gutters <br />Er Back Flow Prevention .1 V\ \7CIA1-1 MOT) ( Viainfin ' S VeSt12- COM . <br />12' Main Drain Cover <br />Equalizer Line Cover <br />',P st RUCTION' 4- " 3 0-1Ae st-irritneirS \-NoN a LeDles. cAzon <br />21/ Pool Shell <br />CA-\- "rta 01/4x? .. Fencing/Gates <br />Et' Decking & Coping <br />Wade Pool - 2 Main Drains r <br />c9- 11-V24-0 Is &criv,e, 0143v2, cy,,--, The w al s SAFETY EQUIPMENT <br />Rescue Pole <br />\ C\ '"f21 dxffor ,e/rd , cvan todo_ y . Life Ring <br />Safety Signs <br />,.. Lifeguard <br />rz <br /> <br />Lighting 17t2-0N iae, Thk, -.0 llovil 9 ,Sqe.-N c.-kclg. : ____k <br />L,kadders/Hand Rails — t 141 t rOld&OCNI \ n -c-c '. inclucla ?hcfaz <br />Dr Depth Markers/Tiles <br />\r ) \Aro ‘7&1 O.V hpo 172S t hocA-)ii---60 and 0 First Aid Kits <br />D Emergency Shut-off Switch <br />C-C10\ i Orki ri..6C-5 <br />— OFF- ( t'i 0 (31.1 v 1 nol A Showers <br />4 Toilet & Dressing . <br />er Ventilation <br />(4 ?cathik (Aa The iT.51\CM i ng Cyc Cr) odi <br />LI Chlorine <br />)X)C;) )2/fi tiZ an02 C .' <br />— 1\1 0 sw)mrn\nq a-V -i-e4- cia r-r 1_1- CyanuricAcid <br />Q7 Clanty <br />— 1)ia n-- hou no-h Le_ N7---Test Kits <br />ot oced . <br />Supervision & Control (I) vnct92 1--v C,\-\e- put in? S cti- 1111 tITIV . Nr General Sanitation <br />11,-N wc\A.IS MAY-e ?Uri) p M-)Yk• Own 1 kOtki , Eiy Algae <br />Influent: 7 <br />i <br />Effluent: 7 <br />-1-r.) sto f -V- n) eM1-,E,rc) , goq -.4(0e1-5 4 4-G <br />Time In: . d Received By: n ected by: _ . • <br />Time Out: g .s--,s--- <br />EHD 36-01 5-8-12 SWIMMING POOL OIR <br />Page L of