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SAN JOAQUIN COUNTY
<br />ENVIRONMENTAL HEALTH DEPARTIO\IT
<br />600 East Main Street, Stockton, CA 95202-3029
<br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: v 4/,,,,kc A,' fr, ,,,,t Date: 67 /5 ,,A 7
<br />Address: / CO Ar&1474wp-e aq City: il L ,,,i,. ,,-., C-' Zip Code:
<br />Owner/Operator: L i i/..ei,71,144,-•.-C /4-r/L; j Telephone: Z 3 1 — / 2-6.71/
<br />Program Element: Program Record: Inspection Type: /V/I--7,J7)-{(44 ',A,
<br />Flow Rate (gpm): pH:
<br />—7 -0
<br />Chlorine (ppm):
<br />-Ret 1 ,
<br />ti --). cc.
<br />Cyanuric Acid (ppm):
<br />-t-p
<br />ov
<br />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 />H Filters t 14a-0i/11a Pt ca 41 -Evp-n &lip tew-ec i • Pumps
<br />fia/ Gr-el " . 4 6, cia/.0 A,Pi- diat b' • Chlorinator
<br />El Flowmeter
<br />ctea El Gauges
<br />/14k. sv ( km s k71(1 k7P
<br />El
<br />ue - iC9 — El Skimmer & Gutters 1:
<br />Back Flow Prevention 73p/K c-5_a , A( 71e/4w/4 5 (31 Ihrti-L /17-0-1/ Main Drain Cover El Main
<br />Ale /0{ At he qii/d,tel‘-e Equalizer Line Cover
<br />CONSTRUCTION _ C9 r..14,(4,1-Ciri* Lis c_f 4r6 ik__ A-M/1 ,ley H Pool Shell
<br />it,t7/-71/f. la ) rhilek . El Fencing/Gates
<br />Decking & Coping
<br />iffejuc, 6- G‘,./ Lis1 . o ? 4 - -- ----- , k7 El Wade Pool —2 Main Drains
<br />/e9.1 )a,,,,,z-R,,.., ao,7q' 4-pre2/ SAFETY EQUIPMENT
<br />El Rescue Pole
<br />/- 1* g or/7 7 El Life Ring
<br />El Safety Signs nil-- 9 . El Lifeguard ../
<br />/97 ,P t 'M gel. 4v (1/VM/ ‘fl, /,l /, El Pool/Deck Lighting
<br />\ El Ladders/Hand Rails
<br />El Depth Markers/Tiles
<br />r-4(-----1.71
<br />.
<br />h< ,Spil /,./ ee 7%,91 El First Aid Kits
<br />7 Emergency Shut-off Switch
<br />7 /LC RESTROOMS
<br />Li Showers
<br />El Toilet & Dressing
<br />El Ventilation
<br />WATER QUALITY
<br />Li Chlorine
<br />El pH
<br />El Cyanuric Acid
<br />El Clarity
<br />Test Kits
<br />MISCELLANEOUS
<br />E Supervision & Control
<br />El General Sanitation
<br />El Algae
<br />Influent:
<br />Effluent:
<br />Time In: t t /j og Inspected b •
<br />Time Out: ib r 3c
<br />1(2)4,ezy:
<br />r(
<br />---
<br />EHD 36-01 7-18-08 SWIMMING POOL OIR
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