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SAN JOAQUIN COUNTY <br /> L;��'�•,=.'• <br /> >-. ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: 209 468-3420 Fax; 209 468-3877 Web:www.s ov.or lehd P er n <br /> a�.. P � ) ( ) 19 9 <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT 'n4_=� <br /> Name of Facility: Date: ko . <br /> Address: 2�v C �f City: Zip Code: 53 � <br /> Owner/Operator: Telephone: ZQq—k <br /> Program Element: skc ' Program Record: e Inspection Type: 1 <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid Temp: Other. Reinspect! on or after: <br /> (ppm): <br /> INAJ=Maior Violation OUT=Not in Compliance COS=Corrected on-site <br /> See reverse side for code sections and general requirements that correspond to each violation 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 1 Pool Gates ❑ ❑ ❑ 35 Flow Meters ❑ ❑ <br /> 2 Pool Enclosure ❑ ❑ ❑ 36 Pressure and Vacuum Gauges ❑ 0 <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 ❑ El ❑ <br /> 7 Pool Deck ❑ ❑ 41 Spray Ground Pumps Interconnected ❑ ❑ ❑ <br /> 8 Pool Deck and Lighting ❑ ❑ 42 Spray Ground Recirculation System 1 ❑ ❑ ❑ <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 ❑ ❑ ❑ 1 999 1 Other ❑ ❑ ❑ <br /> 13 Cyanuric Acid Concentration ❑ ❑ 0 <br /> 14 Chemical Water Test Kit ❑ ❑ (1 , G ,. ,S <br /> 15 Operation Records ❑ ❑ <br /> 16 Water Clarity ❑ ❑ ❑ 0 1 <br /> 17 1Cleanliness of Pool ❑ ❑ II 1 <br /> 18 Pool Shell and Tile El ElS G 1 os-P� <br /> 19 Depth Markers ❑ ❑ p� 6� t ,� <br /> 20 Depth Marking Line El El �J <br /> 21 Water Level ❑ ❑ <br /> 22 Skimmer Assembly ❑ ❑ N S "A, <br /> 23 Pool Inlets and Outlets ❑ ❑ <br /> 24 VGB Suction Covers ❑ ❑ ❑ <br /> 25 Spa Emergency Shut Off Switch ❑ ❑ ❑ 2 <br /> 26 Spa Operating Temperature ❑ ❑ ❑ <br /> 27 Pool Equipment Room ": ❑ ❑ <br /> 28 Safety Vacuum Release System ❑ ❑ ❑ L — <br /> 29 Recirculation System Operation ❑ ❑ ❑ <br /> 30 Pool Equipment&Plumbing Maintained ❑. . ❑ � <br /> 31 Disinfectant Feeders ❑ ❑ ❑ `� C <br /> 5 �n <br /> 32 Chemical Control and Monitoring System ❑ ❑ ��� 'Y� S <br /> 33 Minimum Turnover Time ❑ . ❑ <br /> 34 Maximum Flow Rate ❑ ❑ 1 <br /> ALL EHD STAFF TIME ASSOCIATED WITH BRINGING THIS FACILITY INTO COMPLIANCE,INCLUDING REINSPI CTIONS,WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> Time In: Time Out Received By: r�� � Inspected By: <br /> 2. ,5 2-`•31 � 4-3 ' c� <br /> EHf7 38-01 Rev.08/08/18 Page 1 of—L SWIMMING POOL 0I13 <br />