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I Date: — Name of Facility: , r - - , <br /> <br />City: JIV AO 1"6-C4 Zip Code: Address: ,•/ b 1\i0 f -.‘e cl 311- <br />Owner/Operator: 1-10 I 4-ej .0 Telephone:ar377,_ z/ 3 33 <br />f <br />Program Element: Jo i f Program Record: f/ 36o0915-- Inspection Type: /61-1,4, c' <br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): <br />7 c <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 />.l21/ Filters <br />Er Pumps <br />tg7' Chlorinator <br />Flowmeter <br />El Gauges e..4 kcAlAp-k- <br />Er- Skimmer & Gutters <br />I.2.-c-iLudz,vrt Si 1- 5 r,14( anle-off <br />v\ (title _ <br />Back Flow Prevention <br />O' Main Drain Cover <br />Ear Equalizer Line Cover <br />CONSTRUCTION <br />V Pool Shell <br />EY Fencing/Gates <br />EV Decking & Coping <br />111 Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />El-' Rescue Pole <br />Life Ring <br />El-'''Safety Signs <br />El Lifeguard 0-0— <br />CI Pool/Deck Lighting <br />lY Ladders/Hand Rails <br />E17-Depth Markers/Tiles <br />CI First Aid Kits <br />El Emergency Shut-off Switch <br />RESTROOMS <br />El Showers <br />WATER QUAL) <br />12v,r- Te,fi (a.vt_c_.e_ssa , Pros ra i 610 16471 410 <br />ct foO l .wtut-,5-4- CloS.e. 4,c IA-3 - I <br />LULLS4- CA 14/1014, n ce. LAy VG IA JDeJJ 7 <br />M Al 5/-1 c9-0 (/ <br />Nn fl Ventilation <br />El Toilet & Dressing <br />gedirA e - 5 3 voz/i - <br /> <br />5 Ca9()Lel'5 - <br />- e ilocd) d-e/oM ,c! I co vers. <br />eraii9m '5 7' 4., )4- /lee/ A/ di/ e74,91z-via <br />Ga veiS <br />Influent: /5 ps- <br />Effluent: 0 <br />Time In: <br />Time Out: 1-0 10/41 <br />Received By: <br />tlad-ct <br />Inspecte by: <br />Chlorine <br />pH <br />Lk Cyanuric Acid <br />Clarity <br />KI/ Test Kits <br />MISCELLANEOUS <br />111 Supervision & Control <br />1=1 General Sanitation <br />El Algae <br />SAN JOAQUIN COUNTY <br />ENVIkONMENTAL HEALTH DEPARTIVINT <br />1868 East HazeIton 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 />END 36-01 5-8-12 SWIMMING POOL OIR <br /> Page of /