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SAN JOAQUIN COUNTY
<br />L ,RONMENTAL HEALTH DEPAK ,ENT
<br />600 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: t4,1 7 e l'11.4 fi)(4,4_ (Af5/4 Date:
<br />Address: l '(--)(--0 /7/14 0 4_'/.0, City:77.--„,_ ,7,r- Zip Code: •?t:;-?c,7
<br />Owner/Operator: VC 1 1.147.1f/t/ ( : a 4 4ti I( ( Telephone:
<br />Program Element: Program Record: Inspection Type: v 6:-4.-_E 1-, 47?5 (OZO
<br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after:
<br />Other:
<br />REC1RCULATJqNOU1PMNT Th violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />• Filters
<br />-A- i t , aiOk. A j/0:: i '' • i4 l... . LII Pumps
<br />(--Ike i pscoe-ilivocti., c (ti iit t__ • Chlorinator
<br />• Flowmeter
<br />• Gauges .. „.,..:
<br />ialit/k iReir4 kii ./s)..Li, IrC( 1' MI Skimmer & Gutte rs )%(/)
<br />• Back Flow Prevention ' C 4
<br />A 1 Ike ,L., — .,)- n tliat(ti f 44 • Main Drain Cover
<br />? i'-eii<j_ . A .31\ . Equalizer Line Cover
<br />CONSTRUCTION
<br />• Pool Shell
<br />r
<br />-2,e(' 0 Vail/447r dielib''(.-ei .- • Fencing/Gates
<br />• Decking & Coping .1- 1 1 C. .
<br />A 4 ,s/44.11.L, Pi Rio ' jA-(44 ii-t-04-- -. co S(./PS Wade Pool - 2 Main Drains
<br />--, -.) w ii„.t. vel6 t ,43 o zi SAFETY EQUIPMENT (K ,
<br />• Rescue Pole
<br />• Life Ring s-,'.
<br />• Safety Signs
<br />(.4
<br />1 1, v
<br />7 NIA, i l- A ii. 0-ti - -01-Ls -`(7 -Pk • Lifeguard .--A
<br />Deill., A (kt4ek/evil_ cciii-V (o/ 6) .1.4.0-_, • Pool/Deck Lighting
<br />/V i.Ae4 4(A'---,, .114 tk4-/ 4( k-cf./41-5--te II Ladders/Hand Rails .„---------
<br />III Depth Markers/Tiles
<br />M First Aid Kits
<br />• Emergency Shut-off Switch ,,, z•
<br />_ klitAV
<br />El Showers
<br />M Toilet A .)
<br />130 0,04- 4-14.c1MrA - /02/tAle • Ventilat -
<br />or,t, a tAiaA A - €,4(710( , Co Nit ,3
<br />• Chlorine
<br />At • ^ pH 6
<br />IICyanuri l-
<br />• Clarity
<br />:41(014 daily cit oi ,c io it ix ..,c--Vatel/C • Test Kits
<br />A 0 - 4ii,„U woM luvai , / A MISCELLA •
<br />•
<br />Supervision & lai.iile
<br />General Sanitation
<br />-4
<br />V 7.,Air-'01- C) 4. d
<br />
<br />(tinily d it,--- OtOilii:/6. — 40 LS1-74?ii,MilF- 111 Algae
<br />Influent:
<br />Effluent:
<br />
<br />/1 6 PM v /7 ' -- X-(4411-410 ,•— //
<br />Time In: Received By: inspected by:
<br />Time Out:
<br />END 36-01 7-31-09 SWIMMING POOL OIR
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