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. MO Date: 7- — / 2— Name of Facility: <br />ad or ,'s +-0 0 1-k , l•-\ <br />catac-L, f•vo.4. S g2....s <br />Time In: c-q <br />Time Out: I 0: 3 5 <br />Inspected by: <br />A)6 WL4_d <br />Influent: <br />Algae <br />Poe)) 5pcx.. <br />3 23 <br />Effluent: 1-1 \0 <br />RECIRCULATION EQUIPMENT <br />111 Filters <br />El Pumps <br />111 Chlorinator <br />LI Flowmeter <br />El Gauges <br />El Skimmer & Gutters <br />111 Back Flow Prevention <br />Main Drain Cover <br />El Equalizer Line Cover <br />CONSTRUCTION <br />111 Pool Shell <br />El Fencing/Gates <br />El Decking & Coping <br />Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />Rescue Pole <br />Life Ring <br />El Safety Signs <br />11] Lifeguard <br />El Pool/Deck Lighting <br />El Ladders/Hand Rails <br />Depth Markers/Tiles <br />First Aid Kits <br />El Emergency Shut-off Switch <br />RESTROOMS <br />Showers <br />El Toilet & Dressing <br />El Ventilation <br />WATER QUALITY <br />Chlorine <br />ICI pH <br />El Cyanuric Acid <br />Clarity <br />Test Kits <br />MISCELLANEOUS <br />El Supervision & Control <br />El General Sanitation <br />le •••• - 1 ..-., • , 1 • m.- 7 p I — <br />Address: ego 3c- P./ ctry./1.e.--_s 0r • City: .4-0 k_40 ,fr, Zip Code: y5-2 icI <br />Owner/Operator: Pt G.L., u.)04-er (' i .e a 5 cta re A pi-s ,. 1-- Telephone: <br />Program Element: _3L.,,i 1 3 6 I )_... Program Record: 0 360/ <go / 0 1 60 .z s,/ Inspection Type:Rel. .r1 Soe-c-4/01,'1--- <br />Reinspection on or after: Flow Rate (gpm):P <br />S/rA 50 <br />: 7. z _( Chlorine (ppm): <br />i• 2. / • '3c-c- <br />Cyanuric Acid (ppm): <br />0 ____ <br />Temp: (7.2_ <br />Other <br />(-13 0 / CI o 1 . 2-- 1 . E? j t• c c. <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />he_ 5 ,c.A.. r) 145 4-er- •••"‘ <br />elin8 szag heuJy uJe oty- , R-ce lq &Ile.- sou <br />pool A-QS 6/teck-- a t.,9e ts <br />u,-)c't US , Clear-k <br />. 1--ou-Je r 1-4 ; s <br />etc C;) atS p0CS/ Lie (el-cx)4 - • <br />Tle‘..0... cA (Or( 1;-% 5toc, 1---0 <br />'/1 4-e 41,*-1e: / (LD. <br />7154- c°"1-t L.( k-wrick c A /t ve <br />00:el 7tEA /;—, Lf <br />Ck? al-0, 1:17 <br />-1.-1,L c, <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />• <br />4 rgo '' <br />FI-ID 36-01 5-8-12 SWIMMING POOL OIR Page of