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pea.m. SAN JOAQUIN COUNTY p{-�C..0 <br /> E 'IRONMENTAL HEALTH DEPAR- ENT ;Lga -81$? <br /> 186b mast Hazelton Avenue, Stockton, CA 9b�u5-6232 CXN Z <br /> • /FOR�`P Telephone: (209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: �4J -Re A,Iy Yl'15 Date: -114 <br /> Address: L'I' 0> N ,e rs''L.-t City: e-+0 I Zip Code: 0162-0? <br /> Owner/Operator: 6l jiC-O✓) Telephone: <br /> Program Element: 40 I Program R cord: PR o 3(oo 3 i o Inspection Type: u.-I-i nL <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): FTemp: Reinspection on or after: <br /> CO5 g •0 5f �- 1o O er: <br /> RECIRCULATIONIEOUIPMENT 3 The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> (q' Filters <br /> [v� Pumps <br /> Chlorinator 'X MQnAA4ytctt>aRQ{ CIA Co n <br /> [� Flowmeter <br /> Gauges Q U Ye L LS V61IE O rn "rl t <br /> [' Skimmer&Gutters vie LA a./iC K eY- w C+4q L k4o✓r nr o-I-i Yf <br /> ❑ Back Flow Prevention <br /> Main Drain Cover d(LprLO-, <br /> ❑ Equalizer Line Cover -{ore TOOH r-4 -O t'1`S 40.6y - �-- th-f &C0Wi✓/- <br /> CONSTRUCTION m "^_ i PA LS I'LA h I'Yl OL. n,l+c L l <br /> ®' Pool Shell P <br /> [� Fencing/Gates -t` I , .g <br /> [r Decking&Coping <br /> ❑ Wade Pool-2 Main Drains © - wGl.u- V ,R-e alGQ 14ry -a <br /> *;._i'i',SAFETY-EflU1PMENT�=s�,.,=aai;. <br /> Di ' Rescue Pole t tr it <br /> [� Life Ring C P R Q VLak �reC rze <br /> []' Safety Signs n ct Pro <br /> ❑ Lifeguard I ( f <br /> [a' PooUDeck Lighting 1,3/A p Yl-DGiYf <br /> [a' Ladders/Hand Rails <br /> [�. Depth Markers/Tiles <br /> ❑ First Aid Kits Co r r•2 `aQ71s <br /> ❑ Emergency Shut-off Switch <br /> .ie<RESTROOMSi-3 �r:?i:_ \ NL7✓�L •fV LS OV•2r' -loO m <br /> ❑ Showers N/A, Ur-ar vlt •(,f 4 42 U <br /> ❑ Toilet& Dressing <br /> El Ventilation 5 + (-P— r C.¢-4 <br /> /nr_.WATER,QUALITYX" LCL CA- 0 Y OL- •n <br /> Chlorine <br /> [' pH <br /> Cyanuric Acid <br /> [>� Clarity <br /> [� Test Kits <br /> -t� ;=MISCELLANEOUS + '- <br /> Er- Supervision&Control <br /> [9-, General Sanitation -Fo U i j.4-,? ti OL 5cx�i d <br /> Algae `POQ 15 V 6t 6 co "^'G Lc a,-1 <br /> Influent: ) $ No I 1 + clues o+ vu o r I< <br /> Time In: Receive4d By Inspected by: <br /> I Ito'- o <br /> Effluent: Time Out: 0.M <br /> 10.4.5 <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page--j—of <br />