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SAN JOAQUIN COUNTY
<br />EN IRONMENTAL 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 />D ty-
<br />SWIMMING POOL OFFICIA
<br />— Name of Facility: we
<br />
<br />,54_ Le, i- 4.14, Apic 4 tr_ Date: 7 - 2-2- _Os
<br />- — Address: 6 . 5- A Iii Alegi Liel-A7E: City: Zip Code:
<br />Owner/Operator: Telephone: f si - 4"2 4 7_
<br />Program Element: Program Record: Inspection Type:
<br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after:
<br />Other:
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />Filters
<br /> Pumps Pha-ce_ r Poo L -1,1?360 .” R
<br />• Chlorinator Pi./ : 7' - 2 C hlor ri- ne : hi, (,. = 6 0 • Flowmeter - cy cL,
<br />,
<br />• Gauges FR 110 gpfri 114 -:- Ne5i E-1.4 =
<br />• Skimmer & Gutters C k :43 re - op(ii itoc20Z_ • Back Flow Prevention
<br />• Main Drain Cover f'hase .i - - 0E, PR 3co 6.-77
<br />• Equalizer Line Cover 0 rre 4-4,-t, les-T-tet," f chlarin-c to it, CV 1 -Pe54- CONSTRUCTION
<br />• Pool Shell csi-r i
<br />0
<br />
<br />Fencing/Gates
<br />M reivoin C le SP4 V 54 Seidl u 417/ TY -10seci- • Decking & Coping
<br />Wade Pool -2 Main Drains Ay,//0 ,
<br />SAFETY EQUIPMENT
<br />• Rescue Pole
<br />• Life Ring PhOSe. - S pa._ Os,1 t4.) j PR '3 40 5-1 4
<br />• Safety Signs
<br />Lifeguard a ori I ' 1 eii e._ in_re___ 1 .4-fly:,
<br />Pool/Deck Lighting , •:- . OA , , rn S 0 CZ is re , crn
<br />Ladders/Hand Rails
<br />Depth Markers/Tiles ( i C_Se)4A_L-Li_re.„_, c_.4- LI c ifi.)
<br />First Aid Kits
<br />Emergency Shut-off Switch
<br />P114 RESTROOMS -5,e_ :Zs - Poe/ { ,ftiki ) Pk 36c,s-9S"
<br />Showers phi; 7, t--/ Free ehbrika gig cy.a. Toilet & Dressing ..: , .3 o epk21 .
<br />Ventilation V10/4-110 n s- hiLv-e co rrcclei a kau -.1-c, re.:02, , pea
<br />WATER QUALITY Of
<br />Chlorine
<br />pH
<br />• Cyanuric Acid
<br />cOIL Phks-e_jir Ng- PR360 • -. 5-93 Clarity
<br />• Test Kits PH: 7, q rrf e ditori ne = 3 ? CL( a_ - go
<br />MISCELLANEOUS ER -: E.,f4 go 1 ,? ..... IF • Supervision & Control
<br />• General Sanitation , Viic I cd-ieo s- hit-e Leff? ri,rferiej, Ok cLL 4'
<br />• Algae te o Fzn -Ike _s?_ci.•,__,
<br />Influent:
<br />Time In: ',?,e),Ard Ins Received By: id by:
<br />Effluent: Time Out: ., ,,,, c2.57407,7 /7 ,7.44------v
<br />() Page of EHD 36-01 5/26/05
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