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SAN JOAQUIN COUNTY
<br />EN\d )NMENTAL HEALTH DEPARTM T
<br />1868 East Hazelton 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: 7',.-_ X,!< Date:
<br />Address: 7._9-(-) 7• 4--;. Cit y: ,15-) :7•1 Zip Code: ,---..--‘.-
<br />Owner/Operator:"q„._. _ \f--)c- ,'"":/ (-7--)
<br />.e--'
<br />
<br />
<br />Telephone __. - 9'37)0 .X.8
<br />Program Element:---";/ Program Record::9;4c2,(:)-5:::29,"g- Inspection Type:
<br />Flow Rate (gpm):
<br />() /OD
<br />c ) 96 -.7',/
<br />pH:
<br />,* 10
<br />(Z -7‘-irc--
<br />,2„..hle.....orin,e4pmcb
<br />-
<br />Cyanuric Acid (ppm): Temp: Reinspection on or after:
<br />Other
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />• Filters
<br />• Pumps
<br />I Chlorinator
<br />III Flowmeter '
<br />6) •le2/""?'4--.,.- •,,,c2z- /." ...f.-,e ,-y1. /ea,.I • auges
<br />f'.4 ' '71. < ;i/e" / 4 - - -;• - - ) - 5 c...5!) ,e,'' -7C---:.•" . r2E''' Skimmer & Gutters
<br />• Back Flow Prevention
<br />C...-/c0 ./V-t1=7 .." C;e:#... 67)*%e:::!,'"7-7'Sor, II Main Drain Cover ine—
<br />,,. A4iv,...). "lie, .,J/e' --/-'1 /-ionl ,,'",*// 45e- • Equalizer Line Cover
<br />CONSTRUCTIOWW,
<br />2i#c=;:•-"-A.40P-- -4?..,.." d 74age-, "e2:::0/ MI Pool Shell f-';-iiit:k.4-cove
<br />. II Fencing/Gates
<br />II Decking & Coping .
<br />(t 1--P",---5 c---e -•e-•••••-;/ c>,-..--..• Z'-'v' 2 1 ' III Wade Pool -2 Main Drains
<br />SAFETY EQUIPMENT
<br />II Rescue Pole
<br />• ).1fe Ring
<br />1 .Z.• .e.--/ .." ...oup _.... - . .... - Safety Signs Z34:-,-,--40 • .P.V.-
<br />• Lifeguard
<br />_Z 7-:,::--,// • Pool/Deck Lighting
<br />• Ladders/Hand Rails
<br />• Depth Markers/Tiles
<br />lit .00 // > ,_,IcveZ•esoi--- 1,------) 44! 0 - .47;"?' p"2.4-107'./ MI First Aid Kits
<br />• Emergency Shut-off Switch (--0.77.62,64-7 R e7,---tyr yyt--..4.-7- /6?-- 0005- RESTROOMS
<br />Z.-----5,...-2,---,*. .1-C:;'Ge-7-r.- (--- 7CZ Crar) —./-5-(Y)0 MI Showers
<br />II Toilet & Dressing
<br />X j7...e2r.-2.4., --- c337.....e2, - 'ran/ ,-r-Ve..4-97.e. 7' IN Ventilation .------,_
<br />-. ,,,zool/- ("72600-7','-5'c--- .47--z--- WATER QUALITY
<br />n*--S.hlorine CC • 6,/.2-7->
<br />.E -pH 0.)'
<br />/ac)--7-7 C-,7 -44-. ""..--r-/ .,;:eed",- C;w4. • Cyanuric Acid
<br />IN Clarity
<br />'-k., f r O., • Z C - - • CD , Test Kits • •
<br />- (77 ISCELLANEOUS 2,...„4
<br />Supervision & Control
<br />--- ., 70, r7C2,--i-A4, C7 7,_' --,. • 6Y-4f:2",-) . • General Sanitation
<br />• Algae
<br />C7C2f r-' --,-4.,, 4f0=.4, • cy,,,,,-, ..--.
<br />Ve2,31/40 influent: ---, - •
<br />Effluent9 .40---
<br />Time In: .Z,1, - C,0 R Received By: hi jklif r-' e by:c1
<br />Time Out:.4.?.;,
<br />- .
<br />EHD 36 -01 5-8-12 SWIMMING POOL OIR Page of
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