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SAN JOAQUIN COUNTY
<br />ENV' -)NMENTAL HEALTH DEPARTIMr .'T
<br />1868 Ea.. HazeIton Avenue, Stockton, CA 9520:, .J232
<br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: --, (T.--,.. CK>v7,7,...5 .--'4-- Date:
<br />Address: ...7.0 /2-Y-7V-E, •a-- City: /-2.-...„..),/e...,- Zip Code:
<br />Owner/Operator:f2ry_fl.......> /c2r... 74 72.„-- Telephone: c (?..7_ or-4?)
<br />Program Element: .56.-zz Program Record: f9A9() _.3-- w 7.5- Inspection Type:
<br />Flow Rate (gpm):
<br />,C)()
<br />pH:
<br />ZG'7'
<br />Chlorine (ppnn):
<br />C....
<br />Cya-nuric Acid (ppm):
<br />1 7Caf)
<br />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 />Lii Filters
<br />• Pumps
<br />CDZ---- --(_>----.7.-‘- .•x__)-` r %'-,.--- „.--7-,' • Chlorinator
<br />• Fl wmeter ' z"
<br />10--- Gauges
<br />• Skimmer & Gutters
<br />• Back Flow Prevention . m (--:, 7_5 cr:ie....,....„-- _.. ./c-x--)Q"--2.7„. z------.„.,Fr.,,--,7-72.,-,-.27, III Main Drain Cover
<br />t"--7.:-..,-2,- ,„"9:>")„, "."--.). • Equalizer Line Cover
<br />CONSTRUCTION
<br />c--1 C..e_...-7 C7- .•••/ ."4"e'''',
<br />•
<br />0
<br />Pool Shell
<br />Fencing/Gates
<br />Decking & Coping
<br />Wade Pool - 2 Main Drains
<br />SAFETY EQUIPMENT _
<br />•
<br />•
<br />Rescue Pole
<br />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 , — . 7-
<br />,:'L4-4,•-•2‘27 re-2,-----z--., Cz-)C,..." • Ventilation _
<br />---) -e:%'/-2 --- (--7-6--, /7 WATER QUALITY
<br />• Chlorine
<br />6 ; Z ---C. _ — 'A 7 6 -C • 0
<br />Zr ' Cyan u ric Acid T.....--c,
<br />• Clarity 7
<br />• Test Kits _.---------'-------G7e.- P: :3 r - - 7' — 4! f 2 , - - - - - : —.--
<br />— ,-----:---5'2 ...,"---'f ?'' --<•-•<:--/Z--,..-'n/. MISCELLANEOUS
<br />• Supervision & Control
<br />. /'e • "c: r ? - r'; - '3 r;::2 • General Sanitation
<br />• Algae
<br />Influent: V k
<br />Effluent: el--
<br />,-
<br />Time In: ,,,,, •./y ceived: 7 c„Leif by:
<br />Time Out: , --) . -0(-) -----c- 7, ---
<br />--
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page
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