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SAN JOAQUIN COUNTY SJ So,r‘ Er IONMENTAL HEALTH DEPARTf JT 1868 East Hazelton Avenue, Stockton, CA 95203-6232 Poi Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd SWIMMING POOL OFFICIAL INSPECTION REPORT ,\ Name of Facility: km(' -,c*"\ r ..) 1\ ,--) , Date: —I - 2-5-- )2.., Ali. Address: \--\ --AD *\(_-e.Jo-it,,, Dr City: \c\cy,r...\ A Zip Code: Owner/Operator: \lizi- a Q_ 1,,i., Q \ (-\ Q...,..,_,..-vir....„ .._i„, Telephone: -.) 2 Program Element: Element: 'FAA\ Program Record: .''(,00, 09 1 Inspection Type: Flow Rate (gpm): kf) pH: R- - 0 Chlorine (ppm): -1 -k-- .0 - '73 . 1--- Cyanuric Acid (ppm): 9 0 Temp: Reinspection on or after: Other: "RECIR CULATION EQUiPMENTI The marked violations represent Health & Safety Code Violations and mustbe corrected as indicated: • Filters \,,L) —1"\-e 0 k-\ --4--0 N\o•-•‘" R -\-r...41 e 0- c,...,i • - Pumps --- • -2_ -VOI --- - "--61 Cziv-e,-J • Chlorinator • Flowmeter • Gauges • Skimmer & Gutters • Back Flow Prevention • Main Drain Cover • Equalizer Line Cover • Pool Shell II Fencing/Gates • Decking & Coping i Wade Pool - 2 Main Drains SAFETY EQUIPMENT • Rescue Pole • Life Ring • Safety Signs • Lifeguard • Pool/Deck Lighting • Ladders/Hand Rails • Depth Markers/Tiles MI First Aid Kits • Emergency Shut-off Switch ESTRO S II Showers • Toilet & Dressing • Ventilation A • Chlorine II pH • Cyanuric Acid II Clarity • Test Kits • Supervision & Control • General Sanitation • Algae Effluent: \ C-N Influent:) -..) ---c_J- - N a-r9_,/,,-) Q-,,,-, E 1 _ .-- A • -N Time In: IL . tu o...1. Received By: _ Inspected by: Time Out: t t :2)S V - n \nc-Ar -c-ks EHD 36-01 5-8-12 SWIMMING POOL OIR Page of