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Time In: 1050 am <br /> e �/ ✓� Time Out: 11:27 am <br /> San Joaquin County <br /> y� Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209) 464-0138 Web:www.sJgov.orQ/ehd <br /> 4Ll FORM <br /> Swimming Pool Service Request Inspection Report <br /> Name of Facility: KELLEY DRIVE COA Date: 10/09/2017 <br /> Address: 7667 KELLEY DR , STOCKTON 95207 <br /> Requestor: GUSTAVO DOMINGUEZ, G DS TILE AND POOL PLASTERING INC Telephone: (209) 727-0659 <br /> Program Element: 3602 - POOL/SPA REPAIFdREMODEL PLAN CHK Request#: SR0078225 <br /> Inspection Type: 523 - Plan Check/Report Review <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code section(s)116043, 116040, & <br /> 116050. All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and must be corrected immediately or be subject to closure pursuant to California Code of Regulations(Title 22)section 65545. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Pool remodel <br /> White plaster <br /> main drain split-2 aquastarA8R Covers sumpless for 140 gpm <br /> 2 skimmers with split equalizer lines. aquastarA8R covers <br /> trim tile on steps <br /> depth tiles and no diving tiles <br /> band at 4.5 ft <br /> Hand rails <br /> Ok to plaster <br /> Spa remodel <br /> white plaster <br /> main drain and jet outlet are split-each side under an aquastar A10RCFR cover. <br /> one skimmer with split equalizer lines-2 aquastarA8R covers <br /> hand rails <br /> trim tile on bench and steps <br /> depth tiles <br /> Ok to plaster. <br /> r <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code. If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: <br /> EH Specialist: VIDAL PEDRAZA <br /> Phone: (209)468-0334 <br /> EH 36-01 Nev.06/30/15 FA0002656 SR0078225 SC523 10/09/2017 <br /> Page 1 of 1 Swimming Pool Service Request Inspection Report <br />