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SAN JOAQUIN COUNTY
<br />EN\ 3NMENTAL HEALTH DEPARTk T
<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: t\NO -e..._ \ S '‘' X Date: '0_ 1 -1)-1. S
<br />Address: \ •(:---,, c\ or-_\-\,\0300c2._ pc\re_ City: Mc,Nr\Ata.--c,...c.‘ Zip Code: CI153-6.)
<br />Owner/Operator: - \ r .,c),Q ,.) .‘ 1 {‘C.... Telephone: 2 sq - Sci (:;C
<br />Program Element: .":3‹.)- \ 1 Program Record: ---1,00 q '8 Inspection Type:
<br />Flow Rate (gpm):
<br />, ....2- \CL- 7,
<br />pH:
<br />74- • \C.si
<br />Chlorine (ppm):
<br />"f• • C_ - `-‘ • 5
<br />Cyanuric Acid (ppm): Temp: Reinspection on or after:
<br />C • C . O. ,0 Other:
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />• Filters -t\ \'‘ ç,f, .t , oc,i \ a-Ova_ a. rof2J2 - • Pumps
<br />Q Q (A. rorz. -k' ( -2_ 4i-Q___ 1-QA 4-k • Chlorinator
<br />MI Flowmeter
<br />(C)- irici . CL-Q3 Ps-61 4 _ZNI-Q-) • Gauges
<br />• ' ------1) 0( \ 42 (2-f.„-vro.f. t 1--.),--* ssot 3,.71i-e-k_.,./ • Skimmer & Gutters
<br />M Back Flow Prevention
<br />C s.D5.-j no . 9.1z_no.,../v 4Q- 5c) ..A- 3-(2..e-- INMain Drain Cover i
<br />C * J • Equalizer Line Cover
<br />CONSTRUCTION
<br />1L Pool Shell
<br />
<br />-7\--12,_ ,'')) OV•--c...12_ c—.4-Q--2- -0-a-rk -.15; -QA. -e' •Qe
<br />CS g oz, 5 k. _ 1 ( ti c 1,5Q.c v k " • Fencing/Gates
<br />• Decking & Coping
<br />.c.,,,S9-7 1 (act 0‘..1-\_,,- 1 AA-..m • Wade Pool -2 Main Drains Vr
<br />J (-1 SAFETY EQUIPMENT
<br />Re Pole
<br />li-ELcife r.A Ring .0
<br />Safety Sign
<br />ck—z-
<br />Lifeguard ecne-3-r\ri II
<br />si .../ • Pool/Deck Lighting c%)(\(.3 9......, 2 -'J'-'e iCzi .
<br />• Ladders/Hand Rails , . ...) ---0-t--- kod--2-ke_sz - v.ca./..-e_ • Depth Markers/Tiles
<br />(.---\0-3 S 5-La c‘m -c--oc,..cr, • CI 42.-__,---‘ s First Aid Kits -Clirr_.)
<br />.../ )
<br />Emergency Shut-off Switch
<br />S \G-Q.-A.- RESTROOMS
<br />`c. 7\-e.... co --\ct 0...(--,(K 5e,..., c__.6...pc,‘ C-A. --1*. t-,N-,_) perk 1--- -Ls••;-,-- • Showers
<br />• Toilet & Dressing
<br />0,/....11_ -c-ry-t.))..0e). ("--"•. /Ore_ S i3r\ . OS-Q- 0- Q.,, ? Ventilation
<br />(7..."-le-Py‘ --\•-• If - uo_Ci -1,e. c , c,i, WATER QUALITY
<br />• Chlorine
<br />./r/ .7.k r-*cAAi\i-stay-* a • pH
<br />' - ciA \ or Ir-Q ifi-4) e 14 i1/4,-er_ kiy‘ • Cyanuric Acid
<br />• Clarity
<br />5; Ae . ( Ps-A- 1 ci.stn)r- 2_. r ec,,c4...:rv-iz_ e-Q.,N. vd-Qszici • Test Kits
<br />MISCELLANEOUS
<br />LII Supervision & Control
<br />-i
<br />
<br />-1 c2-0 42.12_ 0 kOrlir./. c`-9-E4 • General Sanitation
<br />• Algae
<br />Influent: /7 c....
<br />--,
<br />Effluent:
<br />,
<br />Time In: \ '. C'')(1c,(..\ Received By: Inspected by:
<br />V-- (---.‘ r\ ha e ( _S
<br />Time Out: Z.,-'.jil\10
<br />V.
<br />(IO, V\i(6‘,41.c,‘ L k c; C_-_,-.22‹:)
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page of
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