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SAN JOAQUIN COUNTY
<br />EN v.rONMENTAL HEALTH DEPARTI \IT
<br />1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd
<br />ING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: q(itt i f , % Date:
<br />Address: , 6, # City: 711s0Sely....„. Zip Code: qb 33(0 rksg
<br />Owner/Operator: ( ‘ti, . / Vftrouikwu OrgfiTelephone: / /1ju .
<br />Program Element: Program Record: Inspection Type: fegi ittup' —
<br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Rei pection on after:
<br />Other:
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />M Filters Pad rikt, delfl 00 5:-S critA &t4-t-At) eite), Pumps
<br />Chlorinator
<br />II Flowmeter AlEM8( OZA illt4,, 04126gir. dzetifrv 4.111-_1 _ i/c.‘-e-- , Gauges
<br />i dited+v -, ap,444, Ciemd IN Skimmer & Gutters
<br />Back Flow Prevention
<br />1 Main Drain Cover
<br />-i- ,
<br />i Air 4.<44,ikezia, tv a_ e Ttii -or- Equalizer Line Cover
<br />CONSTRUCTION
<br />. Pool Shell
<br />Fencing/Gates
<br />
<br />----
<br />/41.40-144-a0:1—)
<br />II Decking & Coping
<br />Wade Pool — 2 Main Dr‘',_._
<br />SAFETY EQUIPMENT
<br />• Rescue Pole
<br />5XA--
<br />c'dcip— 0 0 4 in xa e-14,6,44)• ,c4, ote4:611 ) _ • Life Ring
<br />tilka,K_ 9-0 efy h , )4A04.11f4,.; -itikey-- I- 1.044 - • Safety Signs
<br />• Lifeguard
<br />1 0 rpir , Cip,k , ,itila,_ 144,-0 -4-ftir pez-eilbri..4te J • Pool/Deck Lighting
<br />II Ladders/Hand Rails vil,
<br />pptim &tad ,c24 ilerdied ,
<br />• Depth Markers/Tiles
<br />• First Aid Kits
<br />• Emergency Shut-off Switch 0 a rtai ) r
<br />
<br />iopc t 4(f./74- 650441 . i. RESTROOMS
<br />Lii Showers
<br />Toilet & Dressing
<br />II Ventilation
<br />WATER QUALITY
<br />M Chlorine
<br />pH
<br />g 4,4,01,4-x2_ 4.fgd - lalirr' reui,o1 t 1,4 C-/D )C Cyanuric Acid
<br />Clarity
<br />COWK--- Test Kits
<br />01A-t_ "04114 /ti Mff 41114 AA- —41,PW_J— 4 g7C3' MISCELLANEOUS
<br />Supervision & Control ..,/ I lytt I itrA,..z., Wtta_ '' .,/ e y-A,....- ‹21c-C.40A44- --7. General Sanitation #4
<br />At i Magb 1 Algae
<br />Influent:
<br />Effluent:
<br />Time In: t 30 Rece•v d By: °I ) ,t,ed by:
<br />A ,
<br />Time Out:I 0 ' 0
<br />1 (-7- a in lAil,n
<br />*nspe
<br />n . . I 3'; 4
<br />i . A
<br />END 36-01 5-8-12 SWIMMING POOL OIR
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