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- SAN JOAQUIN COUNTY
<br />EN .ONMENTAL 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 REP
<br />Name of Facility: (...<;\ \e_e \)-\e ,,,,_
<br />•
<br />, cz A„i \o \-„,--,_ v..„...Lk Date: (6--2_- 1 3
<br />Address: --2,L1 (Di ra-f,,,r, p_oc_,-)k. City: f\tr\NNA,a .0, Zip Code: CI
<br />Owner/Operator:.,a,”„--AA,),,;(kcio IA-0A Telephone: 482,k-1 - -7 5 i
<br />Program Element:a0y2.47 3(0175 Pr`dgram Record: s-2--7 el .2._ t / -s2;--Ici 22_ inspection Type:
<br />Flow Rate gpm): pH:
<br />--1-. 0 Chlorine (ppm): Cyanuric Acid (ppm): Temp: ,---N. Reinspection on or after:
<br />S -' Vern
<br />Other: r
<br />The marked violations represent Health & Safety Code Violations an.( (1) RECIRCULATION EQUIPMENT rked as-indicated:
<br />• Filters SPA • Pumps
<br />(-() -VVe --y-, c\-,S1-,--.:-.,,z._ • Chlorinator
<br />• Flowmeter
<br />s Orn iy-\ C p) . • Gauges V \V .
<br />11 N i S ° j 'S- 0 Q- 1 • ,-. ,..._. __.... • Skimmer & Gutters
<br />• Back Flow Prevention \e),e_9_ Liz_ .9-r2-2r2_ ---\--\(--TN --2-0 ()F cr\ • • Main Drain Cover
<br />.. • Equalizer Line Cover
<br />CONSTRUCTION - C-. (2.--,T*,--c_sz__ ft\ i'/)_;,0 \).,--e._.: /v_ lov k /.1-e_s__k- • • Pool Shell j
<br />c)A. ' .--- 0• nO,',14-c,‘,%'\(1 if• 14 Cf4 -4 • 2- -Vo 9 • "(46 . Fencing/Gates
<br />IN Decking & Coping
<br />• Wade Pool - 2 Main Drains r---) 7\--e_ c..,..src\bi 0----9-ci c._.\--1-AS\-;•-r-IL cr\- --\--1-e_ SAFETY EQUIPMENT
<br />• Rescue Pole
<br />0 • • 2-5)-(9.-x-)c_e_ --\-\--t__ eorrThb,-.3,J c-Ki, A-r, ,,... ,r, 1/V-a (,)efY 1 Life Ring
<br />-k--C) k2S2_ Qciz__ 1 VA ,(-\ 0.2 in_ C_. , A r -Q - c )- - II Safety Signs \i'3'”( -2"
<br />• Lifeguard
<br />:2CM '')-1,..)\ 'Q- II Pool/Deck Lighting
<br />i \ L.)--Q-( (ktiC5-k-4- • .9-0--, ja_ C('---1,-..1/4r1 Ns-‘2}-rV.. A A.719A<1 • Ladders/Hand Rails
<br />• Depth Markers/Tiles i
<br />\Oi \ .,?.:3-Q-J2.)e--- . • First Aid Kits
<br />III Emergency Shut-off Switch
<br />RESTROOMS
<br />Sec", V /---k) SZ__, C--k--9----Q P--Q-CA---(2-e_k_ '• 39 pprn • Showers
<br />• Toilet & Dressing
<br />Ventilation fr----4-i •
<br />cf • c ;-R_, \../t, C2-9--z4._ ---N-1(\0.-{\ 20 WATER QUALITY
<br />• Chlorine c ( (t)
<br />C 0 --\-. (V)-,_Q_ .7\-'f•kiY-4-3,St '‘.,/ \ - 0 --\-\ I C) • pH i"--c 'At 1 • Cyanuric Acid
<br />• Clarity
<br />• Test Kits
<br />MISCELLANEOUS
<br />• Supervision & Control
<br />II General Sanitation
<br />• Algae
<br />Influent:
<br />t% _ 2j6 1,6 zic, t )
<br />S
<br />\---\\-c-rv:\a,3-- (._ 0 — - 9 • - QA.\.i.e..9-0-c) . 0..A.,-,_.V,D, (...),,,,,•-Ec.., p 0--2_, - - , - )1)
<br />Time In: . Received By. Inspected by:
<br />Effluent: Q.., ) i Time Out:11 on D f y...LA-(\\,-Nckc e 5
<br />El-ID 36-01 5-8-12 SWIMMING POOL OIR Page of
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