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SAN JOAQUIN COUNTY <br />ENV )NMENTAL HEALTH DEPARTM T <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />Skid% <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility:i Aitt_ Le , ht ( 0 A ,,i/La, i.,-,t Date: 67 /,/ 6-- <br />Address: bf -3_5 WI a 1,7 ,—\,e v y IV it- City: Zip Code: <br />Owner/Operator:em4,1-4-4-'u , f a if.4 t <br /> <br />v'- Telephone: <br />Program Element: 3v I (1., Program Rec .d: 0;6, e? 244-7 Inspection Type: <br />Flow Rate (gpm): pH: Chlorine (ppm): - c Cyanuric Acid (ppm): <br />0 <br />Temp: Reinspection on or after: <br />Other <br />RECIRCULATION EQUIPMENT Themarked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />• Filters 0) 0-yir l 1 a c K (frl le -Pe v • Pumps <br />Va i v4 alv tryit)ki cu-1-- 9 ' b_ -0- cLbp.14A • Chlorinator <br />• Flowmeter <br />1,71(\of V VeeK • • Gauges 6 C 6 pa( u4--y fl 9h /a c.k(vi, , 19414\ a-to . • Skimmer & Gutters <br />• Back Flow Prevention cplz silin a rid yV) me )-- a a Aar • Main Drain Cover _yr <br />O 4— -F0 0 it 11 a Vid 0 1411 Ler pc-- Equalizer Line Cover <br />CONSTRUCTION <br />'? ii(iivvii(c) seirmcgs / a ck-lliq . Pool SheLI ll Shell <br />Placara phav ord-ec . )D1 1 ce d d-000, <br />LI <br />Fencing/Gates <br />Decking & Coping <br />Wade Pool — 2 Main Drains I 0 C ile GI? on • <br />( lat 10 <br />f <br />0 (04.--(g- /9/,-1_ lacr 642 SAFETY EQUIPMENT <br />Rescue Pole <br />t k uti - 1 - c iireorvu) o-e ( 1 e f a Pt gat , p frvitt U Life Ring <br />• Safety Signs <br />• Lifeguard <br />M Pool/Deck Lighting <br />III Ladders/Hand Rails <br />M Depth Markers/Tiles <br />• First Aid Kits <br />fl Emergency Shut-off Switch <br />RESTROOMS j III Showers <br />IN Toilet & Dressing <br />Ventilation <br />WATER QUALITY <br />LI Chlorine <br />• pH <br />E Cyanuric Acid <br />• Clarity <br />LI Test Kits <br />MISCELLANEOUS <br />LI Supervision & Control <br />IN General Sanitation <br />• Algae <br />Influent: I <br />Effluent: V\ <br />Time In: 1,0 :s.,..v Received By: Inspected by: <br />Time Out: II 's, ) ir - ( (._,,,L. :--6/LA , (2-01,k/i tr-1: <br />• <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page of