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SAN JOAQUIN COUNTY
<br />ENN., ONMENTAL HEALTH DEPARTIV ,T
<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 />Name of Facility: Date: alck A ;717 /At .144/te.2*
<br />“f
<br />P4.4,
<br />Address: I _ City: Zip Code: ti-et:e Zip Code: 20-7
<br />Owner/Operator: ,elti . 12-,iZp.ti /..-4C- an Telephone: 1.4. 7 7 ,... 5:2-6 q :2-1(4
<br />Program Element: (:,/2.... Program ord: 3c, ---7"2— Inspection Type: kilta41-e __.)
<br />Flow Rate (gpm):
<br />i
<br />pH:
<br />? ' 4:
<br />Chlorine (ppm): '0 t (C) Ft:
<br />0 - 0 C 6-
<br />Cyanuric Acid (ppm):
<br />30
<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 />• Filters CO 9 'Sea Clet .44 at /? vfit, a leriA4t- et,..f . Pumps
<br />'-1144.44,` &i,sk, 6-1-4.e_e y., /- c/fili - (0 fr.,,. ata(41.eof-- 4 .... ti-e..- M Chlorinator
<br />M Flowmeter
<br />?/27//51 • - • .Gauges
<br />M Skimmer & Gutters
<br />• Back Flow Prevention t -21)- Wtiltil) /1-at 444/It egtd. f-elt. _044/2416Z_, de._, 1VA:44_, • Main Drain Cover
<br />I
<br />PW -kith Xr. GOW-Gthit•et4.-- (tate44-1 • Equalizer Line Cover
<br />.
<br />14VVV,Z1,6 AP- 11 1 ••(.i"-' (4-- --&4'er 4,44A4-) , • Pool Shell
<br />1
<br />A/2e _ 4glAtiti2ce A&-- 422-r d4/14 .140-m Ae44,14.11 a • Fencing/Gates
<br />• Decking & Coping
<br />0000P, egMktri- kt,itt- ttetil M Wade Pool - 2 Main Drains
<br />SAFETY E UIPMENTI”
<br />• Rescue Pole
<br />1) 4_ f..„_eg ...„_( Ai, isol 7ft-t-te, P,gpletecl • Life Ring
<br />_8,44-- e,62htti- 64„...(/' /,.?' -7(t i r .i.ft, v . 0 Safety Signs
<br />• Lifeguard
<br />• Pool/Deck Lighting
<br />• Ladders/Hand Rails
<br />70jApLeAd iat/td -e Ektm-1 64/ i /ilet..,C, • Depth MarkersfTiles ,i1
<br />rep,
<br />I,-
<br />/1e-tak 10 rs, . ,Azeit _ /11,44Aezt._) IP elt,actioLy i • First Aid Kits
<br />• Emergency Shut-off Switch
<br />REsTRoolvis &ANS ey /2,--71fied.
<br />• Showers
<br />• Toilet & Dressing
<br />A a e- JAAAL & 4t e 0 11 k ` /44&e-tr;6' • Ventilation ' rlz"(.4.4 4t a C C-12444C, CUAS 1,72_ L. 'WATER QUALITY '
<br />• Chlorine /
<br />• pH
<br />• Cyanuric Acid
<br />• Clarity
<br />• Test Kits
<br />MISCELLANEOUS
<br />M Supervision & Control
<br />M General Sanitation
<br />.7 I:7' pi2A-v ,... -.., . Algae
<br />Influent: 94 ?6i
<br />Effluent:
<br />p vai4 p
<br />Inspe ed b :
<br />Out: 0: 5-5
<br />R4_,e2.7c_eived B :
<br />. _ 0
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page
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