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SAN JOAQUIN COUNTY
<br />E 'RONMENTAL HEALTH DEPAR" ENT
<br />60U East Main Street, Stockton, CA 95202-3029
<br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: /(('J. (.5 14 44._ Date: 9/1:23 / /0
<br />Address: [:(1) rt 6Y/9-die City: Zip 4. A _ rt4 • Zip Code:
<br />Owner/Operator: Telephone:
<br />Program Element: Program Record: Inspection Type:V (r}6:-.) 7--- Ai: i oa)
<br />Flow Rate (gpm): pH: Chlorine (ppm): 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 />tr4.4,t14,., Ot1.4.;4«.- _ /Cita, 1.4.A- -0/0A-Cl-rkt. ‘45/7.-Atit4,(47_, • Pumps .__1 , ,,,
<br />, yi,e _. dir.44.4 _ lott, q.c,4,..ui ,4 • Chlorinator
<br />• ::ter a t
<br />i _ 7 el L,, 4 4 A.4 ,a 11. it t)/t.) litthib iturtgiodriitpi4w,,„A , ..
<br />-4(- a - A lik t . ' 't"r- • Skimmer & Gutters
<br />IN Back Flow Prevention
<br />ttiAt ritrIA\ KA.4.4.41° 156-flE' • • Main Drain Cover
<br />• Equalizer Line Cover
<br />CO,N$,TRUCTION et
<br />p ij/ , III Pool Shell /-. '4444'vjt- 1414444 4 -
<br />.0644'44,-elt., ;try-et..( .1/,‘,f. ' 71A4AA.4,-- 66-4-1944 ' • Fencing/Gates
<br />• Decking & Coping ih
<br />(' ol(elt_ et, -ez5. --Ct4,ie l'A'et'q Pr i44_, elv"ffe-of ._., [I Wade Pool - 2 Main Drains
<br />SAFETY EQUIPMENT
<br />0 Rescue Pole
<br />))1, Ct4t 2)44 L.4 6,t, ,ivr_ 7)66,,,_ a d,, cl.ic e( • Life Ring
<br />/t 1-6q L lejti-CYA., CA--t-e( f)LO. tr• • Safety Signs
<br />• Lifeguard 11
<br />• Pool/Deck Lighting
<br />
<br />II ,
<br />
<br />IL1\-L gii 4._, )114.1.4.1 le._ icitzt/ it/ 4-4 L a I i 1 te-je itis III Ladders/Hand Rails
<br />• Depth Markers/Tiles
<br />C e li-t M First Aid Kits
<br />M Emergency Shut-off Switch
<br />RESTROONIS
<br />• Showers
<br />• Toilet & pressing
<br />• Ventila
<br />•
<br />Y
<br />,...,,. Chlorin - ,,...
<br />• pH
<br />• Cyanuric Acid ,
<br />• Clarity 024.-10.-A4-
<br />• Test Kits '
<br />• Supervision & Control 0 c.
<br />• General Sanitation
<br />• Algae
<br />Influent:
<br />Effluent:
<br />Time In: Received By: Inspected by:
<br />Time Out: ' il(.C ,C c ( .4 4 .<._ L, - . i . c i _ o _
<br />EHD 36-01 7-31-09 SWIMMING POOL OIR Page of
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