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SAN JOAQUIN COUNTY
<br />ENV NMENTAL HEALTH DEPARTM1 --
<br />1868 East Hazelton Avenue, Stockton, CA 95205-o232
<br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Date: cP'7 rZiz Name of Facility:--e--,---,),--) _/e:"--:-/-:. ,"<:271--5
<br />City: V-01:,---/- Zip Code: 95---3.? Address:-2Y.-/'-)-.06" ,—
<br />Telephone:( Owner/Operator:„,.....e.:.:-//.v._, (-_-_,C=2 ,777 ,, 4-<'('--
<br />Program Element::-36---"?7,7_36-12129tr Recor 2 ..3crx) 7, J-----...-0,7.- I spection Type:
<br />Rate (A:y :1
<br />A: Chlorine pm): anuric A ' pm):
<br />If• /
<br />Temp: Z,C2,?.
<br />Reinspection on or after:
<br />)c"`. ;-- Z ••Cc- 0 • .... -1%/of,,Ky7.) Other:C---/-1 /
<br />° REC14 AI Tid E UIPMEtIr The3 rpAci violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />-
<br />M Filters
<br />.”‹ ...e
<br />--C -
<br />Pumps
<br />Chlorinator IT /Q> ,7 "Q:e) G--/ ---.
<br />III ,r-Flowmeter ---Ar--z" 072 9O,-) 2‘)--2•Ge-,e .2..----1 K7Gauges ...--
<br />Ber Skimmer & Gutters ,
<br />IN Back Flow Prevention
<br />.
<br />0- 4,--2 ----, 76(-6...-0,-, -5 ,9-7,4-r;vry' G',Z /,.."--ii-.----/-7,,--- 0 M Main Drain Cover
<br />Equalizer Line Cover -7.6-J/ 7, --.3r------ 7 /-, - -) - - "( - .. -", , • -, -- - d42/' - --- G t 4, _-
<br />:CiC0 STR CTION,, ,
<br />• Pool Shell
<br />Fencing/Gates C3 >'-')/e G---i.-/e" Th-5--A177/21 7-5 ---,,z-)--A:= ->./ 7,4o'' .-'
<br />IN Decking & Coping
<br />Main Drains Wade Pool -2 A ..0' • .7,-.-:
<br />iI
<br />. Rescue Pole
<br />Ring ---. --P se.-?--c.....---,-X,Z;;A'f--/ '*/ ...-..--/-Y--( .---5 /20/ 7{Life
<br />Safety Signs/c///,-, 41.,..i
<br />.1----7c"-e..e.-0,--,-)
<br />• Lifeguard (1-. „ . e g - ; , -?. 4,', -.--5 /-A%'c-e;'---,c:--,:>--,,•' .
<br />Il Pool/Deck Lighting
<br />III Ladders/Hand Rails •
<br />- Z2,----)
<br />(- (----'-""7- '45>7;9= 7\ /c--x-) 7 //72
<br />a"--'--Depth Markers/Tiles eA7 :,
<br />, IN First Aid Kits -.----- ''',---r-/ "g:34,-// A /-Pi.</(-/ (7, /fe--7/ ->''' VaDr-e::20-) ..---•
<br />Emergency Shut-off Switch )---.---,--; ,,,,7A C-c..///e-",--. '064, ----.-,--i <„,---, ,„v ,,,,, •
<br />Showers a -/ ,<P--)--7-..--,----
<br />Toilet & Dressing
<br />Ventilation
<br />WATER QUALITY
<br />• Chlorine r;-,--/ ---6/L-7 ,g)7.7. , - -.. - ', 47'; ,• ,e ..e.---;;-,-,,----0,:2,,"2-zz,a- • pH
<br />Er Cyanuric Acid ?;--,1---->a,24;it,-,_, -•;,e,..;_e, ,,,- ,,.._,__4.....,,7_ 6t:z)z__ --'-'7V---- /ti_"-5''''
<br />• Clarity
<br />Test Kits (--f"---fio — -"5:/"< — •
<br />MISCELLANEOUS —
<br />Supervision & Control
<br />General Sanitation
<br />"" - -;.e..- P----'Algae ; • ' .2 ' 7 - ;" ---
<br />' /4:::-.5 ,.°0/7-
<br />Influent: . 7c2 — -/---;-,3-'-iry "-‘:;-/--- C3,
<br />31e
<br />B :
<br />Time In: ,',(f)
<br />e Inspec - • by:
<br />'''\
<br />'777-• Effluent: .--)6,/ .:6.4'--1/z Time Out: //. . (-0
<br />yceiv-ed
<br />_,!_„.o
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR
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