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.1) SAN JOAQUIN COUNTY
<br />ENVIRONMENTAL HEALTH DEPARTL _AT
<br />600 East Main Street, Stockton, CA 95202-3029
<br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orgiehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPO IT
<br />Name of Facility: Date. 7/277 ( i 0 , Address: 40 alta, : Tiothorze City: 91t4I'Lffkli Zip Code: (76".g.S0
<br />Owner/Operator: 4 4,f:ell/pi/A.m. fe.,_ thAttv.4_, kjb1-4.-1 Telephone:
<br />Program Element: " Program Record: Inspection Type: (02.0
<br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp' Reinspection on or after:
<br />Other:
<br />Aug) ilggpoza,REOlifffivieV,T, The ,•._1,;•• !iolations represent Health & Safety Code Violations and must be corrected as indicated:
<br />• Filters
<br />A _ xi:4a . apititiL) 1- *tip ce-kAal,_ • Pu mps I Chlorinator Emit ii mi.', 1 Flowmeter . 5
<br />- 0 vet54,k44kVt4t- _ MX /0 , .e.4...i _ to.A. de . NI -' Gauges - 14 V•1
<br />• Skimmer & Gutters "titt li-.4 wil"-- - '- -4-' El Back Flow Prevention
<br />2 a(624t41) AZ c-olte44. • Main Drain Cover
<br />• Equalizer Line Cover
<br />..:riell04:0.: -1, 11-6:41W4MNW
<br />
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<br />.11.,44,4.41auti, vrth- ve„ f, _ „I., tee. itie,A) Az24:14A../ • Pool Shell . /
<br />..4 fit ew-itt 5'24014.- 44-e-64441 ..ld -t4t_44.4,A,5 , III Fencing/Gates
<br />El Decking & Coping
<br />• Wade Pool - 2 Main Drains
<br /> 14,e1Lt/ alU-, ?elk, pp./4 b.,,, tec (vrz,e/ e.,.. fro,... 741 't4tVf
<br />E Rescue Pole 6-4 atitt 412s tf Me, .-‘, c4,444/1 44, "af,t-e-tek. r 4441- 444tAl /e-- r
<br />• Life Ring
<br />II Safe S i
<br />egel twirl, kiratel Ciri/e44 III Lifeg
<br />ignsty
<br />uard
<br />• Pool/Deck Lighting
<br />MI Ladders/Hand Rails dikett4t.,4444„...., • • Depth Markers/Tiles ,-
<br />c;2- 144t) tfsj 9- /6/ 60/1/VI4- - -Ite-1 C91"e441_, M First Aid Kits
<br />. Emergency Shut-off Switch Vt' AO -414A4 .
<br />Pt U4 C' i i ' . ,. ket._ -4.4414 • Showers
<br />• Toilet & Dressing
<br />irt46(4fr -1-e
<br />• Ventilation
<br />-.) nainiffileffeArts it
<br />II Chlorine .6 ?ilk ,
<br /> 1111:4Air •
<br />if,
<br />• Cxanuric Acid
<br />Ej<7c*ity 3
<br />.TestXits
<br />f 111/ Al ) f (-410 El' : Sup-eNision & Control
<br />. -6eneral)Sanitation
<br /> it • Algae )
<br />Influent:
<br />Effluent:
<br />Time In: Received : 1 - •-d by:
<br />— I 411 — Time Out: • 't sci3 itkA 0 --w
<br />EHD 36-01 7-31-09 SWIMMING POOL OIR Page of
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