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SAN JOAQUIN COUNTY ,
<br />E 4.RONMENTAL HEALTH DEPAR NT
<br />18E8 East Hazelton Avenue, Stockton, CA 95205-6232
<br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd
<br />S G POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: [41 a
<br />. , ,, - , , . Date: 5
<br />Address: gols • , City: Zip Code: ‘ el
<br />Owner/Operator: Telephone:
<br />Program Element: Program Record: Inspection Type:
<br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinsection on or after:
<br />Other:
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />• Filters me 4-4t. e • Pumps
<br />1 Chlorinator
<br />M Flowmeter 74
<br />4 4 -
<br />0-ea- Aletittal elAAd yeve4A2 •ackid • Gauges
<br />aite- - 4 1 ir • Skimmer & Gutters
<br />• Back Flow Prevention 12_it ,07 ititi,e4iet nt Alriait,- piz ez-ve)L4_, • Main Drain Cover
<br />( • 2 Ite,41.- • Equalizer Line Cover
<br />CONSTRUCTION //, 40L_ A44-4112 a4A109.4-01/7.1 • Pool Shell ,
<br />• Fencing/Gates
<br />• Decking & Coping '
<br />• Wade Pool - 2 Main Drains
<br />/404,idrt _ SAFETY EQUIPMENT
<br />• Rescue Pole
<br />• Life Ring
<br />7/4 \ AA•ZgA a4..Q Safety Signs
<br />ta Lifeguard e
<br />•
<br />•
<br />viVit . M Pool/Deck Lighting
<br />ad usi elot , a7 ct_eu. Pt /29 -",camz _i eripe44 (zzi-412a, IN Ladders/Hand Rails
<br />M Depth Markers/Tiles
<br />- Mg- f 40_72. pc (--i"-(4441 pact4T, e 14 - i - f ivoia_e) -i6, 74'd • First Aid Kits
<br />• Emergency Shut-off Switch efte).
<br />RESTROOMS
<br />MI Showers
<br />• Toilet & Dressing
<br />a -g • Ventilation
<br />WATER QUALITY
<br />• Chlorine Rit ex.tA_ chet4.4.. , ,,,,,,,,,iwt ..._ .2...
<br />A-I 0 kc, • pH
<br />.44A44121e, . • Cyanuric Acid
<br />. Clarity
<br />/1' a r t A v t 44, w t ig./.2.._ riLife& jr4.akeit., Ah.2,0 . 7-14 _, p_--
<br />• Test Kits
<br />aA/%414vil ititaZ,vj • rth- t i c, A.kell 711.14;. MI CELLANEOUS
<br />• EtvOion & Control t4.,_71_. ?/C -
<br />4144444• aAkei 01-011a-C.) -114-; i7
<br />
<br />. • 7 y irp(a.,4tation
<br />• Arg-9,e ,../
<br />1,,
<br />Influent:
<br />do,
<br />.
<br />Effluent: ,d
<br />lk
<br />k -to elml".
<br />Time In: ( .0r) Received By: I pe d by: il
<br />TiMe out: 0-0 2 , 'Sb----rr--E---._____ 0 En, '4 #3 1
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR
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