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-11.,,61.1•4 I Fe- -• <br />o - • <br />, • hila I -41 <br />SAN JOAQUIN COUNTY <br />El RONMENTAL HEALTH DEPAR1 _NT <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 REPOR <br />Name of Facility: <br />-I r0 ‘IrV t`t' C-0 It Date: 37, /7 0 1 lc, <br />Address: zi4-3 1 w _ 5. A tyv City: Zip Code: <br />Owner/Operator: /A V\iJ7-1 Imei IL _alA"VS Telephone: ? i ,.. ___ 19 (13 <br />Program Element: --...> 1 i Program Record: P p...t a -----D Inspection Type: <br />Flow Rate (gpm): FI:Chlorine , (ppm): Cyanuric-Acio <br />(PPrn). <br />?IOC) <br />— emp: Other: <br />--01# g <br />_cri “,.1- - <br />Reinspection on or after <br />q/i/Joi 4 <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 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 Regulations (Title 22) section 65545. <br />VIOLATION MAJ OUT COS . <br />1 Pool Gates • • • <br />2 Pool Enclosure • • • <br />3 Safety Signs • • <br />4 Safety Equipment • • <br />5 Restrooms and Showers LII <br />6 Hose Bibb Anti Siphon Device • • <br />7 Pool Deck M <br />8 Pool Deck and Lighting . <br />9 Ladders and Handrails <br />10 Disinfectant Residual • • • <br />11 Combined Chlorine Concentration • <br />12 pH Level • II <br />13 Cyanuric Acid Concentration <br />...de( 14 Chemical Water Test Kit <br />15 Operation Records • <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 • • <br />24 VGB Suction Covers • • • <br />25 Spa Emergency Shut Off Switch • • • <br />26 Spa Operating Temperature • <br />27 Pool Equipment Room • <br />28 Safety Vacuum Release System • • • <br />29 Recirculation System Operation • • <br />30 Pool Equipment & Plumbing Maintained • • <br />31 Disinfectant Feeders • • • <br />32 Chemical Control and Monitoring System • <br />33 Minimum Turnover Time • • <br />34 Maximum Flo* Rate <br />VIOLATION MAJ OUT COS <br />35 Flow Meters • • "./, <br />36 Pressure and Vacuum Gauges <br />37 Electrical Hazards • 0 <br />38 Filter Cleaning and Maintenance • <br />39 Wastewater Disposal • <br />40 Spray Ground UV Disinfection • • <br />41 Spray Ground Pumps Interconnected • <br />42 Spray Ground Recirculation System • • <br />43 EHD Approval Required • <br />44 Lifeguard Certification • • <br />45 Lifeguard First Aid Equipment • 0 <br />999 Other WI _ <br />13 (00pp . 2 <br />_ce reFA-fr ti'-.01cd-i_thl- P-Q Cy/1_1 ( <br />-ro ',<AC40 fel% ify i-i, ' coltvii-e•re'' <br />cLutdkaJ4 • Pi.diAt7 Cr. <br />EpA ist{ Missitti ert0-64-1 <br />1- (Lk 17M C , Infer i 1 i 1.) at k 1 • P blx.A.kty p„a_ <br />_stAgL(24, Atc ) _to dioAcLir aYl, <br />AO ktiS I?et /4 Dpni et dUilZ) Ie.C.,7 II <br />ci air' <br />ç 0g <br />S are --(1 clo,r 0 <br />Ito ‘1,P • --rt- .{ CV ° <br /> <br />4 ...:1 •:".-•:. r/Ari TragTO1Pratear er7 ',A., III/ i , .4147W, , <br />1101111."" I J411 I#40 a 0 I In flwiw=e — wi'l .r , <br />i7---- — <br />...—. i <br />ALL EHD STAFF TIME ASSOCIATED WITH BRINGING THIS FACILITY INTO COMPLIANCE, INCLUDINYINSPECTIONS, WILL BE BILLED AT THE CURRENT HOALY RATE. <br />Ti In: e_—_ Time Out: <br />e-7 . <br />Received By In ectealr 1 <br />M.)---/-1--1 WY -033_5 <br />p <br />Page 1 of <br />lk <br />• k SWIMMING POOL OIR <br />Ncte oo I t-o <br />END 36-01 Rev. 08/08/16