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SAN JOAQUIN COUNTY
<br />ENV DNMENTAL HEALTH DEPARTM T
<br />1868 East HazeIton 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: /27-)/7 --/ ,-\ Date: ',2c7? %
<br />Address: City: Zip Code:
<br />Owner/Operator: Telephone:
<br />Program Element: Program Record: Inspection Type:
<br />Flow Rate (gpm): pH Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after:
<br />Other:
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />Filters
<br />• Pumps
<br />(6D 4))/ -",-----y--/ -----..e.-9-.--, X-25., -••-,., ---)--, ._,--;.-_-..---.f.,1-,7-7. • Chlorinator
<br />M Flowmeter
<br />Gauges •
<br />' -----775-/-t-,4,-),--) ) ','ee---E--4-=:,-"/"' ---- X2:110/ • Skimmer & Gutters
<br />• Back Flow Prevention
<br />----",..//--.5 c_v,e;4,,--) V cc,c,,,,e .....-, III Main Drain Cover
<br />:--'7-2' Equalizer Line Line Cover
<br />CONSTRUCTION
<br />7//' Z--;_2 • Pool Shell
<br />LI Fencing/Gates
<br />LI Decking & Coping
<br />C.--__ n---(;te,7c,,...)75 C:DL,r,"•,-- (7%-:--;:;;›,-) -7"---04,c7e--- V.,--) _,,71-:' Wade Pool -2 Main Drains
<br />SAFETY EQUIPMENT
<br />• Rescue Pole
<br />Life Ring
<br />• Safety Signs
<br />...".---',"7Z•0:77V ..-'4i.r4';'. ,' ,..5.---;><*e•"1"--", • Lifeguard
<br />Pool/Deck Lighting
<br />• Ladders/Hand Rails
<br />• Depth Markers/Tiles
<br />(C -7 ; ---"" X .X4 - v •-•_ - , - 9, -7 c_ ._ - . G -j 7 7 - -2 / 042 ,.- • First Aid Kits
<br />• Emergency Shut-off Switch
<br />7--,/ // /"-=k-i--)-:-.!--, '-'7'767?--,.`ic,---•,. _ -Z-7--..---- ,./e-r-,---e-z.Z-z-y-\, RESTROOMS
<br />(2-1"--)c1/4--.•"7-..-7- 9.--..-.) 42,----,- (21.-----7-` • Showers
<br />• Toilet & Dressing
<br />,;-,,-
<br />• Ventilation
<br />WATER QUALITY
<br />LII Chlorine
<br />k-,.='/. Gl.,e-:P'-l' '75 - -7 , = ? - - - - -7&...42 c - -,----- /.& M pH
<br />,'"e30/7c),_:,,-2 7-- "•-,1-_-_, ,---,..Z? (,<=-./•-•>/-:-, • Cyanuric Acid
<br />• Clarity
<br />-7-- 4,/ ,0-4---"e" . ,4*-??_.),". 0.-, • Test Kits
<br />7-4P .Z----!7 (--.-7.,-- A_>---n- MISCELLANEOUS
<br />LI Supervision & Control
<br />•••-•-•---,--7" -'y- -,'-'5 7e7 • General Sanitation
<br />--7 ,rc..-----"i"7"45-. •-//' r,,,.? P. , - 3 5 ' ' 5 '5 - Algae
<br />Influent:
<br />(
<br />Time In: e c e .iv d By: s : t
<br />Effluent:'?I I di
<br />Time Out:
<br />J
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page.of P
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