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SAN JOAQUIN COUNTY
<br />EN \ DNMENTAL HEALTH DEPARTN T
<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:.,-'72(2/7./ 7-71---:_A% Date: '
<br />Address: --`7' %''77--'-f--;-,,---)---/-5" City: 7-2-2_- Zip Code: 525-- ,---
<br />Owner/Operator: v.-------:-----74.4-.-- . /----/,'- Telephone:
<br />/ Program Element: ,? .--,-7 - ,--134,,Pajram Record: (:-...5g-0,.37,../.-/-7- )i '<iftr)0,--)07)-', ) Inspection Type:
<br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (pprrr)':' Temp: Reins.pection on or after:
<br />Other:
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safet Code Violations and must be corrected as indicated:
<br />Filters Y/ • Pumps \
<br />Chlorinator •
<br />. Flowmeter
<br />CZ rn ,' - ....... Gauges
<br />-(7 9 -/-9.--1-- --. Racw --(-x--)- M Skimmer & Gutters
<br />s Back Flow Prevention
<br />Main Drain Cover /, •
<br />/ / • Equalizer Line Cover
<br />CONSTRUCTION CONSTRUCTION
<br />• Pool Shell
<br />- Ortazz-"--76.--- .----:---V,' ("76 ,4-:., ,"7,if_l_e_."-?--; .!!‹ .fr-r---..--.----71 .-v--1
<br />• Fencing/Gates
<br />II Decking & Coping
<br />_,/9/V-,/cv,-..,-- Wade Pool -2 Main Drains
<br />SAFETY EQUIPMENT
<br />•
<br />Rescue Pole
<br />Life Ring -Z ---7' 47? ,-.5 7.!:", .),'-?"4--• _ .__>•4) ,.,f5;±:).-Th /---72 -60,- ,.)
<br />7/,.• CZ:74%'. y• V .--)c----e ----e' e7,". I" M Safety Signs
<br />. Lifeguard
<br />'_
<br />-57G A 724-- .--E-,:-.-..,-----2,- ,,-, 7- c? )_--- ,7 /
<br />• Pool/Deck Lighting
<br />• Ladders/Hand Rails
<br />,--2ec.-----,--2o,-)/4 '-e2,7G7"--/-',..w-". -5 --•,---v--/ (--"Z .=?.e.-E-=',/ " ,,,,c2// • Depth Markers/Tiles
<br />(.20-.2_)--) 7n/ <9,--"..-7,--..---),--; ef,--43,-- ,1/7/7" f'''2"...:,-,:::..‹..... 111 First Aid Kits
<br />D Emergency Shut-off Switch 7
<br />RESTROOMS
<br />/9-7)/ C-t..x,// Showers
<br />• Toilet & Dressing
<br />c=7 ciefy,e;fr-d-, c--?-- c),-.--.P%--2-7-7---..-) re:rx,/ 0 Ventilation
<br />""/ /9 ,.`ti-,•-)--),>•-• 6b,--, Cvm 77X)--v--/6---7 WATER QUALITY
<br />• Chlorine
<br />6-'2 ry ..::•-- • pH
<br />471
<br />f-E7/-7---;.----if C_.e./// C-c:;,-----7 -7/ On E Cyanuric Acid
<br />• Clarity
<br />77-re /-- c.---7/ 7//--7z„,0:0/ (--/43-- /72 • Test Kits
<br />s"-- x,',_:.-s. 742„-;-,-, 70 0-- r,--- ..,'"5" I‘ R0,2,----ra-N
<br />MISCELLANEOUS
<br />• Supervision & Control
<br />(1)--- G---f--• II General Sanitation
<br />IN Algae
<br />Influent:
<br />Effluent:
<br />—
<br />i
<br />Time In: c../6‘ R cei e By: I spected7by:
<br />Time Out3 :4-5" ,..r---,
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page'''. of
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