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;AV IN
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<br />SAN JOAQUIN COUNTY
<br />ENV' )NMENTAL HEALTH DEPARTMr
<br />1868 Easi HazeIton Avenue, Stockton, CA 95205-0232
<br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: ..,2)--,•`/-..."fr 7?----2-774r— 1.!--2 Date: 6f/
<br />Address: 3 -c) '"))-->-_-.,-, City: -- Zip ,...-.- Zip Code:
<br />Owner/Operator: ,e0.--f(-.,----. A1?>/-3''` 72 /2.-----X' Telephone: (---- ' 5(:)--C;K:f,r-6
<br />Program Element: ,.....z.- Program Record: .--.5?(:)5/,---.)j Inspection Type:
<br />Flow Rate (gpm): pH: , •:,
<br />0
<br />sk .-7-- (--"=:2' c."? 'no
<br />Chlorine (ppm): --• 'es,
<br />4, 7.' 0
<br />I ,--/ ,,c"),-,..--,-) <-3 co
<br />Cyanuric Acid (ppm):
<br />->ql) •
<br />Temp: Reinspection on or after:
<br />Other:
<br />REC1 CULATION OUIPMENT - The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />• Filters
<br />• Pumps
<br />1 ,e'' ---,--,- --,-,------,---,- - -,-5 -7-:•••"7/ ?::::7:1---"/"?" IN Chlorinator
<br />• Flowmeter
<br />---,.-------. --2-2-,1.-- 7//‘-/"‘ "447 IN Gauges /-
<br />C-c-,--,-----7,1v- M Skimmer & Gutters .4--,-./----/.-27-2-
<br />• Back Flow Prevention
<br />' '''...e:......'-'4.G.Z V, • Main Drain Cover 5.,t.'" ,.,..,,4',4 .-.. ---- -, t _7
<br />zfr' ,-----,,--, --,,i1 /10' C17,7;e:C. --O c.c....--,,--- ,,z,-L. • Equalizer Line Cover ,
<br />* --V A----1-'7<- /•!,---_,V M Pool Shell
<br />r.alIN 7.4.•11/ 7.:.74'' r4a,(
<br />• Fencing/Gates
<br />• Decking & Coping
<br />( 0 -.9c/ -r_)/ X 2 4) ?i- v /)1_-• - • Wade Pool -2 Main Drains
<br />(-42Y--7.-e5. X:7-(...-/ c., < Z 0 7(') /ra•C) M Rescue Pole
<br />Life Ring •
<br />-vp---r-r.)- ---.-..,,_.-.:01./) ."----...."/E. P".-----)---7-'-v-2-,•-/-"r, ""-XC.-",4%%,-)"Th a- Safety Sigri
<br />• Lifeguard
<br />:-., ..----) 7(---,720-/ <76 ---7 (-->e 7 .--,......-- -...).--..--,-- • Pool/Deck Lighting
<br />• Ladders/Hand Rails
<br />(--v , /,',..e.' /6' !--X="e.,-"A';--;--->< "Q....- 1 (-7-e.---.--)-- 7 /1-10, 7 "/ ,[6-:"../%% ",----\ 7, • Depth Markers/Tiles
<br />(..,...//A /2=,/ /,:-r5,27 --:-.7,4..--.0 ,-----e," c---7:e 7/ ----2 '-'7 -.-7V 1 ,„ii. • First Aid Kits
<br />• . Emergency Shut-off Switch
<br />
<br />- '
<br />
<br />72 , . . : ,y c- - - /"7"--Z-6%7.P- • -, 41' :----",--,-----,--z-- ----2-1-.) 7' - -4? . •-• -2-... i -,-, __(-)7,,t',7,--k- , . R ESTROO MS H ,---4'.
<br />--:-Af) X= X4- -----, •• c:,? 7.-A." .--7-7.. .2 - .-76- .2, ."----",--_---,- f.-4,- e:"7";:e:-// • Showers
<br />• Toilet & Dressing
<br />Ventilation 2, •
<br />WATER QUALITY
<br />411-- Chlorine ji <Z.
<br />...-,---:..7.7.---, ii-/ PH 1 > .,0
<br />- .1;// .A-----,'c--7-J -'7/ • Cyanuric Acid
<br />• Clarity v
<br />67:-.-,6- ,z-,Z IN Test Kits
<br />— (-' MISCELLANEOUS
<br />• Supervision & Control ,-- _
<br />General Sanitation M
<br />,
<br />..* (1//e)--7,-,-;/,--- /c,..---,-----/
<br />• Algae
<br />.(;2=',-----76 76 ---•-z!,
<br />Influent:c , <f _e ee.,....,,,...,.
<br />7-
<br />Effluent:
<br />`----1
<br />(7./- ,/:,,e.,... -•''.X.--- -5---) -k),"--- -‘---;" --••••2 ---4?-------------- •
<br />,
<br />Time In: ,-`, .ca._ r B
<br /> / Time Out:,7_'0-j-
<br />END 36-01 5-8-12 SWIMMING POOL OR Page „Zof..„/"
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