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a4_ SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> �q 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3B77 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility:-Ta�.) CQ- -�-�Q- Date: ko- 2-�o-2- <br /> Address:Z-A O ` City: �=��Nroo Zip Code: q S:'2 <br /> Owner/Operator: I Telephone: 2-0c;� "AS l -0`�z <br /> Pro ram Program Element: Record:g 3b �„ g {'\Q e Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid Temp: Other: Reinsspection o or after: <br /> (per �): ; r <br /> rne,C-1 ��p <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 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 classtred as MAJOR"pose an immediate throat 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 ❑ <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 END Approval Required ❑ ❑ ❑ <br /> 10 Disinfectant Residual ❑ ❑ ❑ 44 Lifeguard Certification ❑ ❑ <br /> 11 Combined Chlorine Concentration ❑ 45 Lifeguard First Aid Equipment ❑ ❑ <br /> 12 pH Level ❑ 4— ❑ 999 Other ❑ ❑ ❑ <br /> 13 Cyan uric Acid Concentration ❑ ❑ ❑ <br /> 14 Chemical Water Test Kit ❑ ❑ <br /> 15 Operation Records ❑ ❑ 1 -L i <br /> 16 Water Clarity ❑ ❑ ❑ �`� ,�J1 <br /> 17 Cleanliness of Pool ❑ ❑ <br /> 18 Pool Shell and Tile ❑ ❑ �- � � S <br /> 19 Depth Markers ❑ ❑ <br /> 20 Depth Marking Line ❑ ❑ rCV TT� <br /> 21 Water Level ❑ El <br /> 22 Skimmer Assembly ❑ •Y CG 1,322 Q 3s <br /> 23 Pool Inlets and Outlets ❑ ❑ + <br /> 24 VGB Suction Covers ❑ ❑ ❑ <br /> 25 Spa Emergency Shut Off Switch ❑ ❑ ❑ 1 _ �1neC� <br /> 26 Spa Operating Temperature El ❑ ❑ 1e 1 t 5 t S k-A m <br /> 27 Pool Equipment Room ❑ El <br /> 28 Safety Vacuum Release System ❑ ❑ ❑ +( ` <br /> 29 Recirculation System Operation El El i� t� `� l e J Q <br /> 30 Pool Equipment&Plumbing Maintained ❑ ❑ <br /> or <br /> 31 Disinfectant Feeders El El ❑ v\ <br /> 32 Chemical Control and Monitoring System ❑ ❑ Z v�Cek <br /> 33 Minimum Turnover Time ❑ ❑ 2 fl ��� f \ Y-i!� <br /> 34 Maximum Flow Rate El El <br /> —3W <br /> ALL EHD STAFF T[ME ASSOCIATED WITH BRINGING THIS FACILITY INTO COMPLIANCE,INCLUDING REINSPECTIONS,WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> Time ln: Time Out: Received By: TQ�e Inspected By: �y <br /> EHD 36-01 Rev.OW08116 Page 1 of 2- SWIMMING POOL OIR <br />