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SAN JOAQUIN COUNTY
<br />ENVIRONMENTAL HEALTH DEPARTMENT
<br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708
<br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: v9.,.1 /4„a _ta.,,I,.., (71, ja,„,,„ kitiq gee_ cil ,, Date: 5,4 6 - gv-e)
<br />Address: / 531" -7Ap.atiaZiAilotr, City: S Jacr, Zip Code: 7 S-D-Cf7
<br />Owner/Operator: 146 4- 34,45/g4 Telephone: 7 N--t, --
<br />Program Element: 3(2 0_ sco t( Program Record: 9c, 6 7S/g 3 6 0 5-3 7 Inspection Type:
<br />"Rei Flow Rate (gpm):
<br />61-464-
<br />Chlorine (ppm): Cyanuric Acid (ppm): Temp: pection on or after:
<br />Other:
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />• Filters CiZ • Pumps ,
<br />• Chlorinator 0 -6 -3 ce--fri-g-cW •,
<br />• Flowmeter
<br />• Gauges
<br />,41-41 4 I 0-ct 11 fr . i7 4 6 -
<br />• Skimmer & Gutters
<br />• BackRow Prevention 4.,toe.. • Main Drain Cover
<br />Lk a a l '14/14"el')' - A
<br />g
<br />II Equalizer Line Cover
<br />CONSTRUCTION ( / a'
<br />KLA...1-1- _.....0 , d , i'11‘-aer • Pool Shell 1
<br />• Fencing/Gates
<br />• Decking & Coping
<br />--air-i234---- /4 1.4 • Wade Pool -2 Main Drains
<br />SAFETY EQUIPMENT
<br />• Rescue Pole ------4,1 i AL / l
<br />II Life Ring
<br />c„,ekai2,r JO ' • i (X* i erel-c LA..;rvyli-e.-ZtS .7-0`.---.2-e0 ! • Safe igns ty S
<br />• Lifeguard
<br />• Pool/Deck Lighting
<br />• Ladders/Hand Rails
<br />• Depth Markers/Tiles -- r e*--
<br />V-4 i/Ld-A.:0 "C4—CAPC-1.- - • II First Aid Kits
<br />• Emergency Shut-off Switch izrevLetev....6.--e:/-7,,a-A-t COs'l&--et- • , ,et/tew
<br />F.O.A__ RESTROOMS
<br />Qt-d, inaft0;61. %C.-e- 0,-"Ale,614 • Showers
<br />• Toilet & Dressing
<br />• Ventilation
<br />WATER QUALITY
<br />• Chlorine
<br />c-1/Lt% sej /(--. C-Val-;;La- ie • pH
<br />i642--4;;P4,) A-Crial-- 0414 .--e,"(e-", NW--t-A- -1/(0. '49.— • Cyanuric Acid
<br />• Clarity
<br />--(i dint,fiqe-1---- .1%M K/ ,J, • Test Kits
<br />jL ,a4 Li.-LtorA:4' MISCELLANEOUS
<br />• Supervision & Control
<br />.-142-.0. 41/''Otle_ ,,,, dipig,t,ou2,04,- • General Sanitation
<br />Algae
<br />(til
<br />II I . , -rAWL. ./tY)---
<br />Influent: .t.L----
<br />Effluent: L ,,,..7 a
<br />‘i t w 1 ,/ f
<br />tr...0 C_C.-111(
<br />1 R . By:
<br />4k,-telf LI-A M., 6 513
<br />Time In: 3 . 07_, f en"fted by:
<br />Time Out: 1 '9) , j r7.--------
<br />,trery".91
<br />EHD 36-01 5/26/05 Page_ of_
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