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k.A/U.I.Ni 1 X <br />ENVTR ONMENTAL HEALTH DEPARTMT—TT <br />304 Eas, _tber Avenue, 3rd Floor, Stockton, CA 951,_ 2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orgiehd <br />SWIMMIN <br />J24 l., 1. 1 l_.1 11 rcr,rvic 1 Name of Facility: iiiipscildit l_k Date: gbig /OS-- Address: 4` 4 6 , AI a s• /iWic- City: Zip Code: <br />Owner/Operator: 1-_)„1 (4,-- mtfi, Jo ral r c- Telephone: 4767 -4'• 26 7 Program Element: 3C, <br />Flow <br />// if- %-d, P7rogra Record: /'R y6,05- 771360 6-9 v Inspection Type: pc ta s ,AvAo r /jell _ 6 Rate (gpm): <br />51,0 -- ii S--- <br />pH: svo -6P4ik 7, Chlorine (ppm): sbestet,- "i C nuric Acid (ppm): <br />sci) spa.- 3 o <br />Temp: 90.6.-- Reinsperction on or after: <br />L\v1 /4) - 3S- Nwsot -7, 4 Nws ea _ - SPA 60 Other: iv LA) _ <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Filters <br />Pumps pli.x.s.e. r <br />• Chlorinator .c <br /> le re_--- 0 .... • Flowmeter <br />II Gauges ///0/12 5 44- v-e evizt.cie _re -- <br />Skimmer & Gutters <br />Back Flow Prevention <br />Main Drain Cover <br />• Equalizer Line Cover <br />CONSTRUCTION <br />Pool Shell P ka_&_c_L-7 . <br />Fencing/Gates <br />Decking & Coping l\t,t''I-Vil We-S4- - s p a- <br />Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT 0 3O,- 4--(A.51. Rescue Pole , -----CtsLa___, r-e—C-0-n-erN :-.1--_, 5,L. _ <br />Life Ring — U to laka ii.c k Ck-U-e_ Carr-e-CJ-E.C/ --, • Safety Signs <br />• Lifeguard <br />• Pool/Deck Lighting <br />• Ladders/Hand Rails <br />• Depth Markers/Tiles <br />• First Aid Kits -.. / <br />• Emergency Shut-off Switch N. RESTROOMS <br />• Showers <br />III Toilet & Dressing <br />fl Ventilation <br />WATER QUALITY <br />• Chlorine <br />• pH <br />• Cyanuric Acid <br />• Clarity <br />Test Kits <br />MISCELLANEOUS <br />• Supervision & Control <br />• General Sanitation <br />• Algae <br />Influent: / fsi . <br />Effluent: <br />Time In: P33 iv) ,.. Received By: / Insp• td by: <br />/ 3 Ar' Time Out: t/ir . ,.._.. <br />lf <br />Page of