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® SPA- 00013r/1*D 1-ii,c)e ous 7- ),Gpf -,,, T61141- /4 , CleeE1( <br />8 Tartv- compoveb,611* 2RE6reb. <br />SAN JOAQUIN COUNTY <br />EM ONMENTAL HEALTH DEPARTML <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: vvww.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: Iv itri2 YIE-1-7) ,SPufte( 09PI3 ,--)/A7-7-/ Date: 7^..2 S - // <br />Address: BOX 4//)R WOZ 5 DR(1,1( City: Zip Code: ?.5--E /(7 <br />Owner/Operator: (t )sg-R_F-t. b SQLesi- /9P I 5 4 P Telephone: 9575-2C)7 <br />Program Element: X/2n4/e._ Program Recorc :3 r) )..s.p35/PRociAil— Inspection Type: R.c.x.en (.., <br />Flow Rate?art6 pH: y 0 shlri6e9I).14 ee CyanurAA. illppm): Temp:a ? Reinspection on or after: <br />30 A rd e_ 4-55. tino -3c-) <br />Other: <br />RECIRCULATION EQUIPMENT <br />El Filters <br />Pumps <br />111 Chlorinator <br />El Flownneter <br />El Gauges <br />El Skimmer & Gutters <br />El Back Flow Prevention <br />I=1 Main Drain Cover <br />El Equalizer Line Cover <br />CONSTRUCTION <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />PCCI- D 5/36 U6 t? 4od2K £U '13 51, //lei) iSu7" <br />4PP(Zot.) )91- 0 ,0 )OR /95 /2,67— 6/t) / S5z-tE1 /3.9 <br />feeji _4_5 ,k,? ArfeA- /3Re ft= t 5 /4/ 177'75 <br />ee,oeRe 11 1D / fc-4. 1 <br />111 Pool Shell <br />El Fencing/Gates <br />l Decking & Coping <br />El Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />0 Rescue Pole <br />I=1 Life Ring <br />El Safety Signs <br />El Lifeguard <br />El Pool/Deck Lighting <br />Ladders/Hand Rails <br />0 Depth Markers/Tiles <br />El First Aid Kits <br />El Emergency Shut-off Switch <br />RESTROOMS <br />El showers <br />El Toilet & Dressing <br />El Ventilation <br />WATER QUALITY <br />0 Chlorine <br />El pH <br />El Cyanuric Acid <br />El Clarity <br />OpivaRtt fictD 5PA giouE l000plam, 1:06-Eg <br />-To ree-613 160 r6tA 8 42 f `) 4/ 5 /1161 Eijc <br />PIRO' N ill 4- 77-1<- 5-F* lorki-TCV, <br /> 1P059tee- treos5 509 1 1-Z-g RvirTE Trie hg- A) <br />0-1.--69A) 1 11,TE--R iii4m6b//9-r6 4`1 <br />El Test Kits <br />MISCELLANEOUS <br />El Supervision & Control <br />El General Sanitation <br />El Algae,0„,, <br />-- <br />Influent: /40 <br />Effluent: LI <br /> <br />10 <br />END 36-01 7-31-09 SWII)MING POOL OIR <br />Time In: f; <br />Time Out: <br />/I <br /> <br />d by: <br /> <br />Page J.. of <br />