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SAN JOAQUIN COUNTY <br />EN'S )NMENTAL HEALTH DEPARTN T <br />1868 East HazeIton 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: l,...a._ V....Q \.) ‘k e\"...) C\1/4_,V, 1-...km.).....-Ls? Date: (•.5,-- a.— i 'I <br />Address: 2_,‘,..A 0 \ 1\1\0 (-\A t.v. p-,,A1*.... 0( City: li\cy.\ At_a Zip Code: of szz el <br />owner/Operator:'\,, 1 \ t-VaA Telephone: ci.).)21 - <br />Program Element: •51/401\c/ 3k3 ‘2_5 Fogram Record: s2--Nici I 2-19 2.,c) Inspection Type: <br />Flow Rate Rate (gpm): pH: , i chlorine (ppnn): f <br />''..0 11,2) CC 0.0 <br />Cyanuric Acid (ppm): <br />< SOPpOn <br />Temp: 0 LI Reinspection on or after: <br />Other: <br />O. na "4.10 -Ft ir,.2 cc o.2 <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Filters 45 <br />• Pumps <br />Chlorinator II <br />• Flowmeter <br />A-Vie— C/J--- -4 ,2- -- - . C-GAI'Q-ri 40 ack,' . ? • Gauges <br />0 \ \--e._ -1`-fa...0_ C‘i\-"-^r--R-- -EN'- -)-\--a S pcx k -L' k I. 2) • Skimmer & Gutters <br />• Back Flow Prevention <br />Pr\ ' ii\oj f\ A--c"...1 /4vA -4-1--c_ c (-Si..12 C-It-k-k5-\.)\-ck al jue...12 • Main Drain Cover <br />cf--)c- • 0 --1-._ to -0 Or\ • V---s2- cQ_ --k-c•i&-x,.., <br />- <br />II Equalizer Line Cover <br />'CONSTRUCTION ‘...." <br />. Pool Shell <br />VOIrr2- • Fencing/Gates <br />II Decking & Coping _ <br />Oy-e_ <..3 -\----\-12._ -0--•-•31(N-__ k."7 lot.A.A..„--4 0../..4 , e-tj-l.ri2 • Wade Pool -2 Main Drains <br />\ 1 -e_ bkA/,-,--5-/-9- 0.-)r- 9-01-1- 1 ‘..1--e._.Q.k. SAFETY EQUIPMENT <br />M Rescue Pole <br />'2 r-e._ % 4‘-sl_ 1?-6\)-Q- c-i t --k-e-/---2- rincx-j (NSL-st7-) 4-0 • Life Ring <br />• Safety Signs <br />OCP-cl %.))(2-a t''-'2-) --1- L2 IN Lifeguard <br />csy -e..---• \ V\ a-v-) ('...T ps i Pool/Deck Lighting 10 -,- • <br />• Ladders/Hand Rails <br />?)ci-r 14)-Zc)-f .11 4001C‘}j . • Depth Markers/Tiles <br />NI First Aid Kits <br />Emergency Shut-off Switch <br />RESTROOMS <br />• Showers <br />M Toilet & Dressing <br />• Ventilation <br />WATER QUALITY <br />• Chlorine 1-1- S <br />III pH 3 <br />• Cyanuric Acid <br />II Clarity <br />IN Test Kits <br />MISCELLANEOUS <br />MI Supervision & Control <br />• General Sanitation <br />N4A.N-) e,,,Q ' 0 c.-- 9, • u. A. .--C1-{" YO-C`--*Z- ' • Algae <br />S <br />Influent: <br />1.14 \ 1 <br />P <br />- <br />......n.z.) <br />\--\-0, ,N, .3C r-<)\ id\O el . (.. 1 0../...,-) -k A,O c-9-0, c--.07,--c _12 le <br />V Time In: Received By: Inspected by: 3 <br />Effluent: 19 I I D Time Out: a ern /----..----------- 7 V - Qr\hoto92 <br />EHD 36-01 5-8-12 SWIMMING POOL OIR \-io2)-o;30 Page of