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<br />SAN JOAQUIN COUNTY
<br />El, .ON MENTAL HEALTH DEPART. _NT
<br />1868 East HazeIton Avenue, Stockton, CA 95205-6232
<br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: M04€4 Cp Date: (2 -4 8 .16
<br />Address: 2 1 9 m City: Zip Code: ce, exlv. DT- • 6+0c...K419 v-) q 5 7.-U
<br />Owner/Operator: - 61 -1-ck (A t-f-i prz) 1-24,--1-.) Telephone: q 9 6, - oil 2-(p
<br />Program Element: --b 0 I 1 Program Record: PR 03(,0000. Inspection Type: ROIA,F) itA,
<br />Flow Rate (gpm):
<br />I, 0 6
<br />pH:
<br />—1-Lp
<br />Chlorine (ppm):
<br />, RECIRCULATION EQUIPMENT
<br />Cyanuric Acid (ppm):
<br />Li 0
<br />Temp: Reinspection on or after:
<br />.... i Vt).-i-ei< Other:
<br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />w Filters VP0,0 ) was r -e-fi I kal (W.1( ok,in , Ch Jo r, ie7-e, Er Pumps
<br />1.-e V.1....1 (..3 2,e ro - ).-ev4a 6 hatl. iaL i-ac-tw-g...e. v7 Er Chlorinator
<br />yr Flowmeter
<br />a; -0--- /4 • Open') V Gauges
<br />(i) C.,rat-k, yip+ 6-e t f e- LAD5i Pii i Lac /-e h; '',-1 • P-rp c' R' Skimmer & Gutters
<br />• Back Flow Prevention
<br />bb 114.142-1-K BA Main Drain Cover
<br />0 6 61-rt-t-17 51r.ra-a,c__ 6 11-estiLA. lo-t- r-e - t et-a irt. //. .e p"' Equalizer Line Cover _, _
<br />CONSTRUCTION
<br />191) HALe...a* • -K-4. ki,u--1-t- p 1,7 on-t. * 0.f- r7-e-ot r-es-+ 2. Pool Shell _
<br />405p i -ird al et_cA C2L4;1-d r .e-a5 o-F -1--h4 a a.4 0- Fencing/Gates
<br />Er Decking & Coping • r
<br />'..Pro on" 8..e.. )1 w e - 1 ' ct-i c., ry klea 6 1 r ot. ÷ e r-rfroo7 C.4 III Wade Pool -2 Main Drains
<br />CD -F I • T oo SAFETY EQUIPMENT
<br />Er' Rescue Pole a 14u_e_A. ,-. azo r az) n '--F I, JO v•---k- . _1—n3 -1----i.4 2' Life Ring
<br />heW- On-05 .
<br />Er- Safety Signs
<br />• Lifeguard
<br />0 54-ot g Pool/Deck Lighting
<br />Ii
<br />r-ii
<br />rt
<br />401 rct /15 Si-ek 1'4- r-e cc, r cl.,,‘ rtis
<br />i Ladders/Hand Rails p 14 4 c/i to ri rt-e_ r-o 6L--LL,A-L .. s • Depth Markers/Tiles
<br />V ?el, I (As )14 rip-4-vHrt,ss o n Er First Aid Kits
<br />• Emergency Shut-off Switch .9.4 tiOaS re rn4 vi_ci , ih54-01.1,1 en FT . VC30 I
<br />ksh-k- 6 haAA (rip r K- , Showers f•I /Pr
<br />• Toilet & Dressing
<br />`)K-PC01 r 10 SPA 10!) 141.6 cio p-k- • Do nor III Ventilation
<br />0 r1-61 r -,e uns-Ft.a..-6 tun 4" Y-oa g Chlorine
<br />6) 6 it44-1 ,-14- OCA-i-e-, ni-4 6 vzs .. _De? sic*. LI 6j 3 R' pH
<br />) CUP 4_,1C- Er Cyanuric Acid
<br />Er Clarity
<br />Cits <Porvi p i-s )1-0-1" ;),0,-7c4.128. • '-e , o K-18. 60 +h czyPer Ki-' Test Kits
<br />yt)% r,42 b6 ) uLasa< . MISCELLANEOUS
<br />Er Supervision & Control
<br />170-TE: *--Po& 1 (AJets r e --1-21_0-,3 --i-e re (-I Wel s General Sanitation
<br />7
<br />'-p,irrit-dI b Algae
<br />Influent: 1 o
<br />Effluent: 7 ,
<br />q63-?Sr7
<br />Time In: K) !go Received By: 7.— Inspected by:
<br />Time Out:!! ;it) (ct, etTA- eit-tZ C.....e.7&-2 dv
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR
<br />jg,y, d
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