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o.COMN <br /> <br />SAN JOAQUIN COUNTY ..0 <br />EN. iONMENTAL HEALTH DEPARTN <br />• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />4Z'i .... Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: ,?)/ C Wcileri4olle Date: 2 S' -/ y <br />Address: i q5 1 14.) 211: 1A1,,,Fity: ir_., (3, Zip Code: CI 5 3 l' <br />Owner/Operator: 74 c W of I erS iGAt- A 13 Telephone: '3 ,, 15 ge) <br />Program Element: CI /3 0 / Program Record: S.2L 3 <br />/ <br />? ‘ .4 SJG34,3- Inspection Type: la <br />Flow Rate (gpm): pH:7 a Chlorine (ppm): <br />F‘-fli <br />r c-r cc.) ^,./s•d ic)e) <br />Cyanuric Acid (ppm): <br />l'iOC1 <br />Temp: Reinspection on or after: <br />Other: <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: RECIRCULATION EQUIPMENT, <br />• Filters 5 d 6 - al al r 0-up IA • Pumps <br />(D R to lac t ,Spef flod)Me -11 c I il 2 1.4h , te....; • Chlorinator <br />• Flowmeter (/ P P pic,ce C he ct< IGIrt Or% III Gauges <br />V Ci lye Gsso 4 61,7 ; A 2 Ideer5. • Skimmer & Gutters <br />IN Back Flow Prevention pool - ro a f I- Op( el j • Main Drain Cover <br />1 I; fxy 0 I boo of 1 h e pool. P1,105414 (D 6;0, i•lm • Equalizer Line Cover <br />CONSTRUCTION ./ <br />re p 0 ; r p fo r 4 c, ilex4 S ec,o c ,. • Pool Shell <br />,g r1. ( Cs h lori4e 01 1 I G pp pi, 7116;441:1;e1 h 1 0..w•,,, • Fencing/Gates <br />• Decking &Coping <br />iy_pin/). 111 Wade Pool —2 Main Drains i <br />- P001 i_S .5 4;ii f, //, ,7 SAFETy EQUIP ENT <br />IN Rescue Pole <br />-Ih e pu "A 'o h .(K 6',1 pool Co., re •c,i0E " Life Ring f <br />A q hi e 4 e Checi< p cc 15 i all <br />L ifeg <br />I <br />• t) M <br />Safe <br />tuard <br />y Signs <br />• Pool/Deck Lighting <br />• Ladders/Hand Rails <br />• Depth Markers/Tiles <br />• First Aid Kits <br />M Emergency Shut-off Switch <br />RESTROOMS <br />( f c :v. de f 10 ,-, 4 Yolke a 5 5 e eY) h i n • Showers <br />• Toilet & Dressing p G c I S K . ir) rY)t r , • Ventilation <br />W ATER QUALITY <br />• Chlorine <br />• pH <br />• Cyanuric Acid <br />• Clarity <br />• Test Kits <br />MISCELLANEOUS <br />• Supervision & Control <br />MI General Sanitation <br />• Algae <br />Influent: <br />Effluent: <br />, <br />Time In: /2, ./z_ Receiv If./ <br />z <br />Inspected by: <br />Time Out: \-. 01 ,1_1.: <br />7" i <br />- -)7 <br /> <br />, <br />/- i--, 'e • 7277i> <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page 4_ of 7/__