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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: a jia 7L?.."...1, F,...e...„e,t4 5--. A7,, .4 5 .... Aio-c-/-1.7 g/ Date: <br />Address:Rt•->3 7 17 a--1...,' ,..-7., N )) r . City: ,S* cie --/---71-, zip Code: <br />Owner/Operator: A4 . ie-15 ; CIG-evA .'1_,e _P-1-0 (2-L-1 ill ' -P----2-- Telephone: 11'5 .7_670 2 <br />Program Element:3a/ /3 / 3_ Program Record: PA 03670 /g 0/ 0 3_6,02-F Inspection Typea rd re....e.o.i_mac Jh 'cry) <br />Flow Rate (gpm): pH: Chlorite (ppm): yanuric Acid (ppm): Temp: Reinspeiction on or after: <br />/0-0 -rrec <br />0-2 r.0,.-1, <br />Other: <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />• Filters <br />• Pumps <br />5F ck .s4; II do sg (4 • Chlorinator <br />• Flowmeter <br />• Gauges <br />• Skimmer & Gutters <br />• Back Flow Prevention <br />on CD P F mo ' R 6 + kA ?Lc r "I- v.) o r ',IL, . pccA • Main Drain Cover <br />• Equalizer Line Cover <br />CONSTRUCTION <br />0 <br />L 01 MC 61'.0k, -k_ (Az -1-)) Trev-e r) -I-- ..e, Ltc CAA1---; l3-ri , <br />R ro KC-1-1 p s 4" i C-- 5+1.4' a .s ht. -h..' -e e /I car) cat -I-e- t • Pool Shell <br />L.A... 65 • Rt CA..e.A.._ cyt.. de "oe c lc - 0- ..Se4, 0 . fvt.c.v.-( e II Fencing/Gates <br />• Decking & Coping <br />(\J I 0 1134-; c:5-n 6.,.... ,... aoc, ,,, ) • Wade Pool -2 Main Drains <br />i I --/-25-0 )--,4',..1 ).-.) • 1) SAFETY EQUIPMENT <br />• Rescue Pole <br />DO i m a.A.j 20. 2 . • Life Ring <br />• Safety Signs <br />• Lifeguard <br />• Pool/Deck Lighting <br />II Ladders/Hand Rails <br />• Depth Markers/Tiles <br />MI First Aid Kits <br />Emergency Shut-off Switch 5 3 - -.) 3 ) RESTROOMS <br />4t I to to • Showers <br />• Toilet & Dressing <br />• Ventilation <br />WATER QUALITY <br />• Chlorine <br />• pH <br />• Cyanuric Acid <br />• Clarity <br />II Test Kits <br />MISCELLANEOUS <br />III Supervision & Control <br />• General Sanitation <br />II Algae <br />Influent: <br />Effluent: <br />Time In: i . '30 Received By Inspected by: <br />Time Out: 2: I 0 , 1)(16kA., 14 -.-/-ko kto cilt,rj f <br />EHD 36-01 5/26/05 Y Page I of