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SAN JOAQUIN COUNTY
<br />EN ZONMENTAL HEALTH DEPART, .NT
<br />600 East Main Street, Stockton, CA 95202-3029
<br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orgiehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: tki CI I t? f ,i 1 %, i • „ A ,-, 0,1 ro t ,,, 1- /1, .vj,• (--5/), )Date: r 5 -
<br />Address: i 7 s I W , 'm , ddk r,,,,o City: hicf Zip Code: 9 .5 i' 7 7
<br />Owner/Operator: LO C/ 4-Cr) Fc ,,,,c, A p1 . fic,,,v),. j Telephone:
<br />y
<br />Program Element: 3 6 / )_ Program Record: 5- .2 (1t Y Inspection Type: fyi 0 ., ,1) ge7 c I
<br />Flow Rate (gpm):
<br />t fit,CAb1i- JO
<br />pH:
<br />70 _, -I di
<br />/ 1- '7 '
<br />Chlorine (ppm):•Cyanuric Acid (ppm):
<br />7c)
<br />Temp: ..) , /6..., r Reinspe tion on or after:
<br />Other:
<br />RECIRCULATION EQUIPMENTII The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />111 Filters
<br />,S • Pumps
<br />fl1 0 1- 11; 1 ; c.) A s Correc tod exce 0 .•
<br />III Chlorinator
<br />• Flowmeter 0 flee c Ii Id lc , vie a 1- Il• 6 p e yr) • Gauges r
<br />9flG;r1 to,' e\ bc I- ceeee‘ I.s- 4/7. • Skimmer & Gutters
<br />M Back Flow Prevention
<br />CO r r E.0 i" led y • Main Drain Cover
<br />M p I -1 a 4- 7. 0 74 ; ei 0; k-, b i- uiee i • Equalizer Line Cover
<br />2 .2 -Alio-. Correc led. • Pool Shell
<br />• Fencing/Gates
<br />• Decking & Coping
<br />IN Wade Pool - 2 Main Drains
<br />4t -cc-C-fc,,,,14 hey GI r) C I - C.) "1 ; fry . Rescue Pole '
<br />P e G. r- tO 0 . . sic, I • Life Ring
<br />• Safety Signs
<br />• Lifeguard
<br />• Pool/Deck Lighting
<br />• Ladders/Hand Rails
<br />• Depth Markers/Tiles
<br />• First Aid Kits
<br />• Emergency Shut-off Switch
<br />RESTROOMS
<br />• Showers
<br />• Toilet & Dressing
<br />• Ventilation
<br />TER QUALITY
<br />• Chlorine
<br />• pH
<br />IN
<br />•
<br />Cyanuric Acid
<br />Clarity
<br />• Test Kits
<br />ISCELL4f4EOUS „
<br />• Supervision & Control
<br />• General Sanitation .
<br />• Algae
<br />Influent: ')\
<br />Effluent: 9
<br />,
<br />Time In: t t , 0 t) Re ived By: Inspected by:
<br />Time Out: 41,0
<br />, .14
<br />EHD 36-01 7-31-09 SWIMMING POOL OIR Page of
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