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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.org/ehd `1•Qrept•
<br />
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: 1.4 c, in p 1,, ,,, -1-1,-)1.-, - 1 s' . , ( l' Date: C 31-/ 2
<br />Address: /),_ ii 0 0 No)ie .. R a City: 1 -1--- ,r(47 Zip Code: q s 30'4
<br />Owner/Operator: LO 0-00c / ."-rCiL 'y (., jic i 15 Telephone: rs 3 _c q $3
<br />Program Element: :3 LI / (., I 1 Program Record: Cc .0.1,6 CI I C 0 1, 4 7 & Inspection Type: 0 u 4 ., n e
<br />Flow Rate (gpm): pH: 7 Chlorine (ppm):
<br />re-i,i ce .o. k
<br />Cyanuric Acid (ppm):
<br />4 3 0
<br />Temp:,
<br />/0 `I fIcss
<br />Reinspection on or after:
<br />Other: / 7. y F6-4 t cc-O ,‘ z. 3 ti
<br />' The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />o ol f
<br />LI Filters
<br />Tr Pumps
<br />(0 FIC“.4) (vi e ter no). ks\A nc I;o";r2 Chlorinator
<br />Or Flowmeter
<br />
<br />40 0 r .. ; r% A 1 I iN a wee 11..S . NI': Gauges j
<br />(5) LO o ; ri I 0 C ,e; ny ca l bolh s k; re) "Yie Y.1 . NA Skimmer & Gutters
<br />Back Flow Prevention
<br />A e p lo ( e i t-N 1 ../Ut.) a c K Main Drain Cover
<br />(.- i cc' i tA e r. 1
<br />61°
<br />)1 t; .) .efet rt C I i V 11 ;
<br />1/47
<br />7 111/ Equalizer Line Cover
<br />aep co,- I re p iGie I r\ I t.).) C.' V ) . Pool Shell
<br />(4) Cor/03;n041 C h 61; ne ci 4 a ' 2-11eA;n4c.;„ less .IAGA as 0-4/ Fencing/Gates
<br />12/ Decking & Coping
<br />......e.(2. Wade Pool - 2 Main Drains
<br />a Sp A I S rooft,7 sy, I, A ;,./ A a 4 UV Rescue Pole
<br />)0 q. q. 71/ G i r‘ 1 CI ; ,1 C4 4 C , IA^Cier 10q. El/ Life Ring
<br />CO ire c 11/ Safety Signs
<br />IV' Lifeguard c,
<br />.4) P: 'Vs a 4 b 0 I lo ry) at S-p ci E ' Pool/Deck Lighting
<br />V• Ladders/Hand Rails V :' o 10 4; ot, . Pr e 4 .• t" ., e-N 2 Mon 4 hs . gr Depth Markers/Tiles
<br />L .(- 7Y) A X ; /4 IA yin C a pac:11 5 :,, EY First Aid Kits
<br />g/ Emergency Shut-off Switch
<br />I 6 C ; ty e e .. " ) U) e' K.
<br />)pecil v:I.,1;0,-). Showers
<br />El?' Toilet & Dressing LI Con') b ., re d Chlor:ne c, 4 a • p M. El Ventilation til
<br />7196 ; :1 i C;1 . , a 1 0 r b o ic 4.4J 0, S" WATER QUALITY
<br />41. Chlorine
<br />COY/0(J i yl 1 Wee X. [[,' pH
<br />[711,-- Cyanuric Acid
<br />4i, Clarity
<br />Test Kits
<br />ELLANEOUS
<br />Ilfr Supervision & Control
<br />PC 0 1 lj 1\c, f Li CO ti LI (Ant 0 1 1 General Sanitation EL.,.-General
<br />CC, n}cA d V , d ni P-:_ct1-cALC\
<br />iik,
<br />gae
<br />foci - i 1-
<br />Influent:
<br />i ?
<br />Effluent: 17 ° C ' ' '
<br />0
<br />Time In: lb .k 05 Received By:
<br />,, g4 .,,,,,,,.,0,,,,.,,,A.,
<br />Inspect d by:
<br />i 74,,,.._... Time Out:
<br />EHD 36-01 7-31-09 SWIMMING POOL OIR Page of
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