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SAN JOAQUIN COUNTY nee.de<1 —ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 2 cis <br /> ra� Telephone: (209) 468-3420 Fax: (209)468-3877 Web:www.sjgov.orglehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility:-Ta_0 +2 0 —-r 2 Date: 1p— 2.6 -- <br /> Address:2\A0-1'_0n -\.,re Qe- City: zip Code: Ot 5:_�;' 3 <br /> OwneriOperator: I Telephone: 2-OR- '-A 5 X -00Z <br /> Program Element: Program Record: (\reed Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid Temp: Other: t Reinspection on or after: <br /> r'O-� (ppmk C ��FZ C1 Nls�'Y <br /> k.; 5. <br /> MAJ=Major Violation OUT=Not in Compliance COS=Corrected on-site <br /> See reverse side for code sections and general requirements that correspond to each violatiori listed below. Items listed on this report as violations do not <br /> meet the requirements set forth in the California Health and Safety Code section(s) 116043, 116040,&116050. All violations must be corrected within <br /> specified timeframe. Violations that are classified as MAJOR"pose an immediate threat to public health and must be corrected immediately or be subject to <br /> closure pursuant to California Code of Regulations(Title 22)section 65545. <br /> VIOLATION MAJ OUT COS VIOLATION MAJ OUT COS <br /> 1 Pool Gates ❑ ❑ ❑ 35 Flow Meters g ❑ <br /> 2 Pool Enclosure ❑ ❑ ❑ 36 Pressure and Vacuum Gauges ❑ ❑ <br /> 3 Safety Signs ❑ ❑ 37 Electrical Hazards ❑ ❑ <br /> 4 Safety Equipment ❑ ❑ ❑ 38 Filter Cleaning and Maintenance ❑ ❑ <br /> 5 Restrooms and Showers ❑ ❑ 39 Wastewater Disposal ❑ ❑ <br /> 6 Hose Bibb Anti Siphon Device ❑ ❑ 40 Spray Ground UV Disinfection ❑ ❑ ❑ <br /> 7 Pool Deck ❑ ❑ 41 Spray Ground Pumps Interconnected ❑ ❑ ❑ <br /> 8 Pool Deck and Lighting ❑ ❑ 42 Spray Ground Recirculation System ❑ ❑ ❑ <br /> 9 Ladders and Handrails ❑ ❑ 43 EHD Approval Required ❑ ❑ ❑ <br /> 10 Disinfectant Residual ❑ ❑ ❑ 44 Lifeguard Certification ❑ ❑ <br /> 11 Combined Chlorine Concentration ❑ 45 Lifeguard First Aid Equipment ❑ ❑ <br /> 12 pH Level ❑ ❑ 999 Other I ❑ ❑ ❑ <br /> 13 Cyanuric Acid Concentration ❑ ❑ ❑ <br /> 14 Chemical Water Test Kit ❑ ❑ <br /> 15 Operation Records ❑ ❑ , <br /> 16 Water Clarity ❑ ❑ ❑ <br /> 17 Cleanliness of Pool ❑ ❑ <br /> 18 Pool Shell and Tile El ElW'Q Cv4 j 5 <br /> 19 Depth Markers ❑ ❑ <br /> 20 Depth Marking Line ❑ ❑ L � 1 <br /> 21 Water Level ❑ El (E ct�S►4 <br /> 22 Skimmer Assembly ❑ ` Q 1 G QSL q -ZS <br /> lt <br /> 23 1 Pool Inlets and Outlets ❑ ❑ <br /> 24 VGB Suction Covers ❑ ❑ ❑ <br /> 25 Spa Emergency Shut Off Switch ❑ ❑ ❑ " °d� <br /> 26 Spa Operating Temperature ❑ ❑ ❑ 1e 5 1 S a'1(•. <br /> 27 Pool Equipment Room ='� ❑ ❑ <br /> 28 Safety Vacuum Release System ❑ ❑ ❑ C-JP <br /> 29 Recirculation System Operation ❑ ❑ ❑ <br /> 30 Pool Equipment&Plumbing Maintained ❑ ❑ <br /> 31 Disinfectant Feeders ❑ ❑ ❑ Q YYl �Q �e <br /> 32 Chemical Control and Monitoring System ❑ ❑ 2 UJee.k <br /> 33 Minimum Turnover Time ❑ ❑ <br /> 34 Maximum Flow Rate ❑ ❑ <br /> ALL EHD STAFF TIME ASSOCIATED WITH BRINGING THIS FACILITY INTO COMPLIANCE,INCLUDING REINSPECTIONS,WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> Time In: Time Out Received By: re Inspected By: <br /> EHD 35-ol Rev.08/08110 Pagel of 2— SWIMMING POOL OF <br />