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SAN JOAQUIN COUNTY <br />ENNARONMENTAL 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 /> <br />1, / Date: <br /> <br />Name of Facility: <br /> <br />W w <br />" City: Zip Code: Address: fli(tO d w41,4_-_Ki 1,1 ,1 <br />Owner/Operator: 7?le-0, markt.) Telephone: L''' 0 I '-u' <br />Program Element: &pi t 3W -j__ Program Record:/ ; lp (2ps 14.7 0 :;(‘'e b 7,0 tc- Inspection Type: <br />, <br />)14 cartt (2_ol Flow Rate (gpm):_lz H: jAcizul 1 efii. Chlorine (ppm): leict, / e_ez <br />yanuric Acid (ppm): .i.zi g#41.1., / diaL Temp: it ci Reinspection on or after: <br />/ i/1/(04 I 0, i rc <br />1°° <br />go Other: <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />CI Filters <br />CI Pumps <br />El Chlorinator <br />CI Flowmeter <br />CI Gauges <br />CI Skimmer & Gutters <br />CI Back Flow Prevention <br />111 Main Drain Cover <br />Equalizer Line Cover <br />CONSTRUCTION <br />l Pool Shell <br />CI Fencing/Gates <br />CI Decking & Coping <br />111 Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />El Rescue Pole <br />CI Life Ring <br />CI Safety Signs <br />CI Lifeguard <br />CI Pool/Deck Lighting <br />CI Ladders/Hand Rails <br />CI Depth Markers/Tiles <br />CI First Aid Kits <br />CI Emergency Shut-off Switch <br />RESTROOMS <br />CI Showers <br />CI Toilet & Dressing <br />El Ventilation <br />VVATER QUALITININ <br />I=1 Chlorine <br />1E1 pH <br />CI Cyanuric Acid <br />CI Clarity <br />CI Test Kits <br />MISCELLANEOUS <br />CI Supervision & Control <br />CI General Sanitation <br />CI Algae <br />Acciit; <br />Influent: ol <br />5 <br />Effluent: <br /> /I CIA)21 <br />1 <br />Poo 1_ <br />abt- dio.1' raw(' 1. s a n4 - /0.Adr14 <br />LC rn irti • 10474-At. <br />140-rAv,( vl ti Ca pi e <br />a vi ajt kaJWYJA' ' d TPU vnt4i <br />6)2 fnie7y ha f <br />II 0-- a di eoirv c6 <br />po (i9v pAr7 L- <br />/2ekv401' Pen <br />)1144 F `Miry( a Orb iie44-iciovt <br />c/44a/1-- 0 1/14-- hid 12 -eef n ce-n Kw <br /> <br />4' <br />/empl,y re ogityliole INArivid t p iik <br />lYfi (6/11,th "Mal h Ge-Yikt-( 4V--r/ia efto'ett <br />,Q11-- /Ow. frigivii -a/00,7 z b /0/2,471 # <br />rrh) aKi/ed pfrokr fi /i /coil . <br />per • s e itt A 12M 11"-- <br />hai Mv du ern at-4 <br />P11,1-- e .601( .e?/-)4'‘((en <br />1,4-7 10_,, <br />fp( a cipka /2en <br /> <br />.ou cheYi (a r 1Y I 1//)i7 <br /> <br />11,1 UliV12-01)-, <br />Time In: i t.)3 c7 <br />Time Out: <br />(j) Chlorin" 1.1 af - I 12 e ppm matinfaiil <br />(i) I A1per /1 I, a iv? attep -erld <br />gr 072(4drAr_ <br />Inspected by: <br />gantlirt <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page of