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SAN JOAQUIN COUNTY
<br />ENVIrIUNMENTAL HEALTH DEPARTME, if
<br />1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.orgiehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: /2-j1/, ' --7/ - \ Date:
<br />Address: City: Zip Code:
<br />Owner/Operator: Telephone: _
<br />Program Element: Program Record: Inspection Type:
<br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): 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 />• Pumps
<br />)
<br />(@ 49/ 4.--1---/ '.-----!2--7, ---"
<br />-
<br />7-) ' ),(---4%,--e-j--.7-3-5 • Chlorinator
<br />• Flowmeter
<br />---i----)--.7, • Gauges ,.
<br />' -;"'"."7--...4,--).--) . ,Z7ck_..) a',/e;:',--74;-=?-"/ .);---J.- III Skimmer & Gutters
<br />• Back Flow Prevention
<br />c„....-,<//,,,..--) Zi. Main Drain Cover (.7.-4/...57,--.7.,-..."-,?.5 •
<br />%--- -Jr' --- e-7:',7"7" 7.-zac.) "---='ec-'/"7:-A-3-1* , ("7--71-1 "1"'....- 0...•_2?-iii---7-,•=9; M Equalizer Line Cover
<br />CONSTRUCTION
<br />,e
<br />: %,.. 71 Zz2 MI Pool Shell ..-
<br />• Fencing/Gates
<br />• Decking & Coping
<br />(..1_ M Wade Pool -2 Main Drains
<br />-, -5-5 ,--r-.'. j r=7;2, -. :- - , -. 74; (-7. --P SAFETY EQUIPMENT
<br />e'--;---ce=?.,./ 7/-4--...2 ..-..-e' ,,--?..----y7C--,--7 c=7... C.-44>-,
<br />. Rescue Pole
<br />• Life Ring ,V,40.-e---..--
<br />,->e<"....i.e7./.0,7_ ...,4"7i:!' Ccze--•--2 1",<•••-;‹, 7e.e.."_)--- COL-6vd--- .-.' "-2=4'e_, _i • • Safety Signs
<br />• Lifeguard
<br />• Pool/Deck Lighting
<br />• Ladders/Hand Rails
<br />• Depth Markers/Tiles
<br />'-7, -d -r "" ,*----, /74.----/,4-0,--7-7 C . ..----1 ,4--:.-----27/ 0.4 (' • First Aid Kits
<br />Emergency Shut-off Switch ,--,c-r-;: _ -.X-!A,..-- 7--/- V/ .017,3e7y;/,-, ,-"/".e-e-e--e-e-X-5-14?)^\ RESTROOMS
<br />- C_)'-) e-/6-, -7 923-) 72.4fz.-5 .....-7, • Showers
<br />M Toilet & Dressing
<br />• Ventilation
<br />WATER QUALITY
<br />• Chlorine
<br />.k.e=z G.t-' --.7' '75 - 2c? - --.7e%'.f. C"..---,77 ,,,4-' • pH
<br />• Cyanuric Acid
<br />• Clarity
<br />," ---.F-..-.---6:?" 4.._'/-------e-..• . ..04b."," 0-7 • Test Kits
<br />" •4 17 •/----"-2 *--,---'r-:-.7 MISCELLANEOUS
<br />• Supervision & Control
<br />(>77‘.21C ---- 4-;'--)-7' --,•"..;;;V:S---7--,---J --'?:.‹505---/-/-ever-7" ...e:24 • General Sanitation
<br />• Algae
<br />Influent:
<br />Effluent:
<br />v d B y: -.---1(14)..:5151)-11 Time In: lyc.ce 1 by:
<br />Time Out:
<br />
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page' of
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