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1,otaN SAN JOAQUIN COUNTY <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: In� �� �-}� Date: 110 2 b 9 <br /> Address: 2-"A City: h Zip Code: 53� <br /> Owner/Operator: Telephone: 71-C-'39 . yS I , QU2 <br /> Program Element l<j 1 1 Program Record: eE'642 Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid Temp: Other: Reii�nspectio on or after: <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, 115040, & 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 Re ulations(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 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 ❑ ❑ - , '2.{ � -S <br /> 15 Operation Records ❑ ❑ 1 �� <br /> 16 Water Clarity ❑ ❑ ❑ <br /> 17 Cleanliness of Pool ❑ ❑ <br /> 18 Pool Shell and Tile ❑ ❑ -� <br /> 19 Depth Markers ❑ ❑ <br /> 20 Depth Marking Line ❑ ❑ <br /> 21 Water Level ❑ ❑ <br /> 22 Skimmer Assembly ❑ ` <br /> 23 Pool Inlets and Outlets ❑ t 5 O <br /> 24 VGB Suction Covers ❑ ❑ ❑ <br /> 25 Spa Emergency Shut Off Switch ❑ ❑ ❑ 2-2 ` V\r e Sir-"m fy\�e(5 <br /> 26 Spa Operating Temperature ❑ ❑ ❑ <br /> ��L�•�r� v.]� , f C��tS . <br /> 27 Pool Equipment Room El ElO. <br /> 28 Safety Vacuum Release System ❑ ❑ ❑ <br /> 29 Recirculation System Operation ❑ ❑ ❑ S F ((\e( 1 CA L <br /> 30 Pool Equipment& Plumbing Maintained ❑ ❑ <br /> 31 Disinfectant Feeders ❑ ❑ ❑ <br /> 32 Chemical Control and Monitoring System ❑ ❑ 2 <br /> 33 Minimum Turnover Time ❑ ❑ 2S v <br /> 34 Maximum Flow Rate ❑ ❑ u <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 �(p{Q Inspected By: <br /> EHD 36-01 Rev. 08708116 Pagel of :L OO �� SWIMMING POOL OIR <br /> P� <br /> 5 5 <br />