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SAN JOAQUIN COUNTY
<br />ENVIRONMENTAL HEALTH DEPARTMENT
<br />304 East Weber Avenue, 3' 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: v.E.,,,„, E. -r-i 4 .,,j _AA ,e_e___ 4./.01_,€_7 „,? &.,,, j rs- Date: sig. 7/2-picq,
<br />Address: (5 14 0 /Le osxt-t c_ LA) A-1 /4/ City: -S-T-OC----7-"P",-) Zip Code:
<br />Owner/Operator: v j E -7--, Afir j i9.4 4 40 7-- .3. L._ LC Telephone: e_f 77
<br />Program Element: 3 6. ( 2_ Program Record: 104 36,0 2.,-, 2_ -7--- D Inspection Type: e a..cri ,E
<br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: I 020F Reinspection on or after:
<br />Other 0
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />• Filters , A- • Pumps
<br />• Chlorinator
<br />• Flowmeter
<br />ce Gauges E
<br />Gio 6-• i oe.-e-rche ez‘ i Clo v-e._,-- bj (5- I / I 0 40 • M Skimmer & Gutters
<br />IN Back Flow Prevention
<br />it.) o7-E._ .- SeN-x-e. v t .....te. a.-- r r -4_a k-r We (4. o L r..e_ eve el ..-„,_ •71-114 • Main Drain Cover
<br />.
<br />S 4 1 4 S 4 v A? 014, ,-I-e, , a c ,,,,,a , --fr i: . . . . _ . ._ ,t//*- ip — IN Equalizer Line Cover
<br />CONSTRUCTION
<br />if)
<br />a fk_ced_ed - • Pool Shell
<br />f • . 0 e a.". ex,/ :-c- io-c- c -ol (c. L'e ( i --:i 1.4 eg.4, ( o ve i..- l 6 • Fencing/Gates
<br />• Decking & Coping
<br />Lc.,"."-e.,_ e -1-- ic v.e_t 4,3 (DO ha pi, 0— legs. t!....y p/ I i /0 6 . • Wade Pool -2 Main Drains
<br />0 13 0 ...ce,"•<.. Got re' d.-•el-mx-Le d --rreN."--- -4 14-- ".<,...,,,,d • 4-42 trAz A c(.. SAFETY EQUIPMENT
<br />• Rescue Pole
<br />WI "-C. Crl •-/-0 c i • • Life Ring
<br />• Safety Signs
<br />• Lifeguard
<br />• Pool/Deck Lighting
<br />• Ladders/Hand Rails
<br />• Depth Markers/Tiles
<br />• First Aid Kits
<br />• Emergency Shut-off Switch - 01
<br />RESTROOMS
<br />• Showers
<br />• Toilet & Dressing
<br />• Ventilation
<br />WATER QUALITY
<br />• Chlorine
<br />• pH
<br />• Cyanuric Acid
<br />• Clarity
<br />• Test Kits
<br />MISCELLANEOUS
<br />0 Supervision & Control
<br />• General Sanitation
<br />Algae
<br />Influent: 13
<br />Effluent:
<br />Time In: / 0 :2 0 ve R eceive d d y: InspecteL_
<br /> -1-K-
<br />Time Out: i / : /0
<br />.
<br />EF1D 36-01 5/26/05
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