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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: 41141---arA......zt,,,,/ Date: „V -240---h(er,
<br />Address: / A bZ Vikkt A r-g- City: /7)12d-4_ Zip Code:
<br />Owner/Operator:Z_suetTirk2fet rlicie.42&.; s' j-ikk).. Telephone: 13,- /2,9 j
<br />Program Element: //' Program Record: pfz, 3,_ ... 6.) 3 g Inspection Type: 42,12#14/7
<br />Flow Rate (gpm):
<br />i26
<br />pH:
<br />- 9--
<br />Chlorine (ppm):
<br />.f 61.4 -=• 6,.•
<br />Cyanuric Acid (ppm):
<br />. 471--C
<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 />• Filters /2:>GC., 12t/S/C-Zesz,t) : • Pumps
<br />.100171161-,a 7 44-'-&--7 45 zen ,F- - • . - - -6 4s7c51,.,g . 7-s7f4 7•1&-7 ,tf-r---f is • Chlorinator /)
<br />• Flowmeter
<br />i/.37.-?Zeet.7.3 BY 4/4417.- • Gauges
<br />- ,41 re."3-7-4#765-z Szar..-e_Ax-rcei 19- .se //n/Ift i47&2-(f. • Skimmer & Gutters
<br />• Back Flow Prevention I. -EU /3 ,P&riiritA.1 Pile-i- Wli d6-0°1 /A4::. A-v.' -
<br />01 Main Drain Cover
<br />)(fll-c-iti/Yge ci s4 ,ti .--1-10 -b- Equalizer Line Cover
<br />CONSTRUCTION
<br />- /.'T,e,&-CA%9'erieliCI-fift-71,-C 02E01124 atiCAPC/- SiCtik4-7',gi,,/ Pool Shell 2- b-tvi . 7/1-pc- execaincy As 1 wee#1&2-_,g)c ze soz F-7 -c%Pwcf.---
<br />S Gel-r-4CC Fencing/Gates
<br />Decking & Coping
<br />3).4C2a441 tr-f-- l---S e.-ittS 40V1 itb=t. 4±3909411421-4Zt5- Wade Pool -2 Main Drains
<br />ek4 r# bi-T,re . Z9121.-4CkASitS ir-'1CAZ-rert -C7i /.-i4lreir7 SAFETY EQUIPMENT
<br />Rescue Pole
<br />4141-r-eriC Life Ring
<br />Safety Signs
<br />Lifeguard
<br />-41)PCV-12 -44-'0 --at 84111-e---1wieciAr7 a= /21c7;1315 ee.-J s-s j . .63/21, Pool/Deck Lighting
<br />Ladders/Hand Rails
<br />Depth Markers/Tiles /11)1AS. rfCtLi ref .431 4)-APL. 4.--0.-,--4CtS"' ALi in -Uf - a. -
<br />First Aid Kits
<br />Emergency Shut-off Switch
<br />5) Zifile- LeS 140 09-da16 ,4-17-A1reif 4.--: ii?-6.4z, (24.6 So44) RESTROOMS
<br />/2eAh. Showers
<br />Toilet & Dressing - area60: a5llet.e.,PeCk 4e2 ,11tri‘e-e/ /240.1 6,42E(g 71/ ivioLm7 Ventilation
<br />WATER QUALITY
<br />Chlorine
<br />pH
<br />6',) 41474 24/7/:/eA/kt- <--C 232W6V1 *6- CiCeiTin0 e--4 -X --6 ZW2Se9, Cyanuric Acid
<br />Clarity ,
<br />-(4_..(s - /-Z9e__) tfrcekrpicr e4c/i/7.,2" se...del-Viso-, irisr-7x-- 04-444, doz, • Test Kits
<br />af:w5it-,5"- A -Ad4, 13.1M -AQ- ceeefl. ( e-te&A - MISCELLANEOUS
<br />Supervision & Control - pvx.L.- is rt.) .ficirri- 1-4,..) C46Se!) 61,%77‘i-- 4g:r41-ace3 .-4,4.12c-Toce--evi.ixc ar L-4-/.6
<br />General Sanitation
<br />I'c-e.4 -Tts--7 ICC.," 7-r-iS /et/SWF/ a6,r1 72ara;"1:S;`1.t: 14.6:414e71*--T
<br />Algae
<br />/1)
<br />Influent: r-6 411/31-4.c--4/ 1107 464. D4‘04
<br />'-'21Silb-C.C9Z, 3S--r4le-171)Z7/C T ; i',=_.,d2osty,e3mitel Aset7-PCOtkal .4ct.,
<br />Thne In: /O:ez)
<br />Effluent: 3
<br />R
<br />y
<br /> !ved By:
<br />Time Out: A
<br />MID 36-01 5/26/05 Page j of
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