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SAN JOAQUIN COUNTY <br />ENV NMENTAL HEALTH DEPARTM' T <br />1868 East Hazelton Avenue, Stockton, CA 95205.-0232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: cam irreeR fipa,rtme"4-5 Date: 0/2 _ 0 11 - 2,01 g <br />Address: City: Lod i /7 0) 5. thi/s nite . , Zip Code: q 5;1 Li I <br />Owner/Operator: i4.7.4.146/seio it._ Telephone: - <br />Program Element: 36fi Program Record: 03100_ ll Inspection Type gout tie <br />Flow Rate (gpm): <br />qoyin <br />pH: <br />g.0 <br />Chlorine (ppm): <br />5-.211PPI <br />Cyanuric Acid <br />(PPrn): <br />Temp: Other: Reinspection on or after: <br />MAJ = Major Violation OUT = Not in Compliance COS = Corrected on-site <br />See reverse side for code sections and general requirements that correspond to each violation listed below. Items listed on this report as violations do not <br />meet the requirements set forth in the California Health and Safety Code section(s) 116043, 116040, & 116050. All violations must be corrected within <br />specified timeframe. Violations that are classified as "MAJOR" pose an immediate threat to public health and must be corrected immediately or be subject to <br />closure pursuant to California Code of Regulations (Title 22) section 65545. <br />VIOLATION MAJ OUT COS <br />1 Pool Gates • • • <br />2 Pool Enclosure • • <br />3 Safety Signs • 0 <br />4 Safety Equipment 5 • <br />5 Restrooms and Showers • II <br />6 Hose Bibb Anti Siphon Device • • <br />7 Pool Deck II • <br />8 Pool Deck and Lighting 5 • <br />9 Ladders and Handrails 5 5 <br />10 Disinfectant Residual • 5 <br />11 Combined Chlorine Concentration II 5 <br />12 pH Level X • • <br />13 Cyanuric Acid Concentration III II • <br />14 Chemical Water Test Kit III <br />15 Operation Records • • <br />16 Water Clarity Lii • • <br />17 Cleanliness of Pool • III <br />18 Pool Shell and Tile • • <br />19 Depth Markers • • <br />20 Depth Marking Line • <br />21 Water Level • • <br />22 Skimmer Assembly 2 <br />23 Pool Inlets and Outlets • • <br />24 VGB Suction Covers Li • <br />25 Spa Emergency Shut Off Switch III • • <br />26 Spa Operating Temperature • • • <br />27 Pool Equipment Room • • <br />28 Safety Vacuum Release System • • • <br />29 Recirculation System Operation • • • <br />30 Pool Equipment & Plumbing Maintained • • <br />31 Disinfectant Feeders • • • <br />32 Chemical Control and Monitoring System • • <br />33 Minimum Turnover Time III • <br />34 Maximum Flow Rate • • <br />VIOLATION MAJ OUT COS <br />35 Flow Meters • <br />36 Pressure and Vacuum Gauges • • <br />37 Electrical Hazards • • • <br />38 Filter Cleaning and Maintenance • • <br />39 Wastewater Disposal • • <br />40 Spray Ground UV Disinfection • • • <br />41 Spray Ground Pumps Interconnected • • • <br />42 Spray Ground Recirculation System • • <br />43 EHD Approval Required • • • <br />44 Lifeguard Certification II <br />45 Lifeguard First Aid Equipment • <br />999 Other • • <br />0 pH Lefrot :0 6g.o, cletlk 6i VL <br />. corred-cd a- 5i-f-e- <br />D ck;14-rtnef aiservibly Cover <br />Prbv,Ve- iteto Calte, _ <br />floeft 551., ii-,14y <9- ri‘...3 <br />e, - zn ylby , <br />CT e4lue4-1- 30,L9 e fr6 Yit -1-- 1.,,:0 1-1(,•„,ts ,. <br />frov;ck et torci<-3 otuse i <br />ALL EHD STAFF TIME ASSOCIATED WITH BRINGING THIS FACILITY INTO COMPLIANCE, INCLUDING REINSPECTIONS, WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />Time In: <br />1 i 10 ifivi <br />Time Out: <br />31°12 g)kl <br />Received By: ___...-.7 In7pea 44/ <br />.... r <br />END 36-01 Rev. 08/08/16 SWIMMING POOL OIR Page 1 of