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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> b Telephone: (209)468-3420 Fax: (209) 468-3877 Web:www.sjgov.org/ehd er II­T--�-V5 <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT 04E'e&4 <br /> Name of Facility: C G Date: �0 . 26 . 24 <br /> Address: 2-\-A C A-!� 0 City: Zip Code: � � <br /> Owner/Operator: Telephone: 20ct—4 . Q� <br /> Program Element: �(�, Program Record: ��e Inspection Type: 1 l <br /> Flow Rate(gpm). pH: Chlorine(ppm): Cyanuric Acid Temp: Other: Reinspectiolh on or after: <br /> (ppm): <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 sectton(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 Califomia Code of Regulations Title 22)section 65545. <br /> VIOLATION MAJ OUT COS V10LATION 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 LIV Disinfection ❑ ❑ ❑ <br /> 7 Pool Deck ❑ ❑ 41 Spray Ground Pumps Interconnected ❑ ❑ ❑ <br /> a 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 ❑ ❑ ❑ <br /> 13 Cyanuric Acid Concentration ❑ ❑ ❑ <br /> 14 Chemical Water Test Kit ❑ ❑ � , ^• <br /> 15 Operation Records ❑ ❑ o <br /> 16 Water Clarity ❑ ❑ ❑ 1 <br /> 17 1 Cleanliness of Pool ❑ ❑ <br /> 18 Pool Shell and Tile ❑ ❑ C <br /> 19 Depth Markers ❑ ❑ a <br /> 20 Depth Marking Line ❑ ❑ — — A 1 G <br /> 21 Water Level ❑ ❑ <br /> 22 Skimmer Assembly ❑ ❑ N <br /> 23 Pool Inlets and Outlets ❑ ❑ <br /> 24 VGB Suction Covers ❑ ❑ ❑ <br /> 25 Spa Emergency Shut Off Switch ❑ ❑ ❑ Q <br /> 26 Spa Operating Temperature ❑ ❑ ❑ <br /> 27 Pool Equipment Room ❑ ❑ <br /> 28 Safety Vacuum Release System ❑ ❑ ❑ <br /> 29 Recirculation System Operation ❑ ❑ ❑ S� <br /> 30 Pool Equipment&Plumbing Maintained ❑. . ❑ <br /> 31 Disinfectant Feeders ❑ El ❑ � --Q" <br /> 32 Chemical Control and Monitoring System ❑ ❑ r o('—\�s <br /> 33 Minimum Turnover Time ❑ . ❑ <br /> 34 Maximum Flow Rate ❑ ❑ J I <br /> ALL FHO STAFF TIME ASSOCIATED WfTH BRINGING THIS FACILITY INTO COMPLIANCE,INCLUDING REINSPECTIONS,WILL BE BILLED AT THE CURRENT HOURLY RATE, <br /> Time In: Time Out: Received By: �r - Inspected By: <br /> E€iD 36.01 Rev,08/08/16 Page 1 of- SWIMMING POOL OIR <br />