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SAN JOAQUIN COUNTY
<br />ENVIRONMENTAL HEALTH DEPARTMENT
<br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708
<br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: ed,-14,1 .42 -7:„io /CD ‘....) . ,479-is Date:
<br />Address:5s 6 ?? tr1 0-Ica..et Pz— City: s 46, c4_,.(0 ,..) Zip Code:
<br />Owner/Operator: CZ Telephone: ci -i 41e - 0
<br />Program Element: I/ /31,12 Program Fillicord: pg ,0 36, 6 33 q/e, 3 60 so q Inspection Type: frL A'
<br />Flow Rate (gpm):
<br />poo (' 9c
<br />,k
<br />pH:
<br />pool a N
<br />Chlorine (ppm): r?-(sc .k ....,e_
<br />.
<br /> oo f ,ether:
<br />Cyanuric Acid (ppm):
<br />pool a D Temp: 4 F cpA 10 Reinspect ion on o r after:
<br />vuee r5
<br />- -
<br />
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />2" Filters i
<br />° I (._{4 Lk? r---Lna.4.4 ruD-4- v1() r r . - - i rl . (-)Z, e 4=1-c_._- se "-- Pumps a
<br />10_)1-2-1-ofelcs • a--- Chlorinator
<br />111-.-- Flowmeter yoo yr.---r-Lonr_s_ vo-c-+ • s__.-p , Luc L, .Ar[7(.Yrn , Egv. Gauges
<br /> Kt5e rt--1- it_ pot:ts.r ki ) Inie e K . ) EY' Skimmer & Gutters
<br />II Back Flow Prevention
<br />El' Main Drain Cover 419 t.,) r , 0 pt,rat-ti C5,1 01-4A-d C_Cif a G4' --i-zi )1cil/-e
<br />-E7lcte_d - (1-Xa - IA) r ; 4e_ 6 -2_3 -04„ • ,6 ,..) ID-- Equalizer Line Cover
<br />CONSTRUCTION
<br />V- Lead Ct 5i,S, riN,1-4.; •e. s-O-A' +k-e'r rr'l sS l' ri 6'1 615 1 az 'KC a- Pool Shell 3
<br />1/4}1--1,rn urt el-a-r +-1^-t_ Ina skt2A-- kA).v-onl , K.-t 4 pLa.c.s.5 a Fencing/Gates
<br />U.- Decking & Coping
<br />p
<br />ak cti.0 --)--i rr•-00 • Wade Pool -2 Main Drains
<br />0 s e c, ,..),14.,r,,,, 1,...,v_i 2s --6-0 ),-,,$)-,• v......„ b-e -1,-,..).Q....e., SAFETY EQUIPMENT
<br />12 Rescue Pole
<br />2 -O —IS-, 0 . Pti,c.itvfm-6A C LC 14 ri U 11 -1- ; 1 C.tU --t—(2 es R Life Ring
<br />a C C -9 4zik_i44 •
<br />111/ Safety Signs
<br />• / Lifeguard ?,11,4 p
<br />1 /4 -0) pop t 14 Or 444) h A h e/r1A, ULLk mu rctc. et_cX d Fr Pool/Deck Lighting
<br />Er Ladders/Hand Rails - Depth Markers/Tiles Er 5 50 rYll 6,..1_,3e4_, ..,.., p ool. „sc.A...A 4 n A.e....., II First Aid Kits
<br />Et" Emergency Shut-off Switch
<br />(-+OoLk.1L • C/LP t3r,"_ L A - ) 0+k- (A-) (1 RESTROOMS
<br />°k- fl....61-1_-1-') IAA_ 6a..„,....1-, . EV Showers
<br />• Toilet & Dressing
<br />0Ohs -4-C cl_ Yk-st ± C-A-0 S 'I n 60- 661-Qt -E-i ).--1-, , M Ventilation LOA
<br />AD y-t J-e-,-.± ok_ c c) c+aLi2. drrotA.Irk--6,-n,/ , WATER QUALITY
<br />—Er Chlorine 3 s r ,,, Lot-t.ic we ,i r deo r • Pro tri a"-- b i ---2-W-eRYCS • Er pH
<br />a Cyanuric Acid
<br />Q^ Clarity
<br />• Test Kits
<br />MISCELLANEOUS
<br />0 Supervision & Control
<br />• General Sanitation
<br />• Algae
<br />9" I .5 plA Influent: a -1
<br />1) _5- Effluent: •
<br />Time In: _ Inspected by:
<br />Time out-2,...,6 ./ Thio(A4.4-944 hockiti-5,
<br />0-
<br />EHD 36-01 5/26/05 Pagel_ of
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