SAN JOAQUIN COUNTY
<br />ENVIRONMENTAL HEALTH DEPARTMENT
<br />304 East Weber Avenue, 3rd 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: oi4erl 4_4 ..e.S__,,k_ S.1:_xez.f.L. ,&i+ O--i-ii) Date: & - /5 -c3 (,...
<br />Address:,.??0,-x,,,,5 ryi,-, . V . 1,),I,A L.A..."..4 i,.....t-JI City: , -iir3c,K..1.-0 r7 Zip Code:
<br />Owner/Operator: 12-e , d_P--r-clii, P _L-1- -4-; -e N Telephone: 95,-7._E...),7 c -7
<br />67;
<br />ro
<br />Program Element: ", ,
<br />
<br />( _
<br />' rzo.3 ./ /0 0 Inspection Type: -12.0 u --1:-I' ri_sz, ,1136,, 1 Program 2... P Record:p60:2 (.. A6 2.,s? 5
<br />Flow Rate (gpm):
<br />poc)j 7 Roo f 7 Li-
<br />Chlorine (ppm):
<br />pe,e, I s r. Cyanuric Acid (ppm):
<br />L.fe-,,_ eve,r- too
<br />pod 1 ove r I (Do
<br />Tem
<br />*
<br />p: Reinspection on or after
<br />Other:
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />la Filters i f D S a c...,,,,C of) ( -R 0 (...) eri -i-er, kt.v4-- tru n r- r-er-i . t 9 p 5 g- Pumps
<br />?-e-fici_., //Lel, (a-e_Q- 6 ,-) 1 — 7--kiki-to -6-KS 3 0, Chlorinator
<br />Er Flowmeter
<br />.P1) ----)u2 -r-6 e- -43-Lk_ S ppv 0,3eot- --P; 144"S ‘,..— 10001 0.-Gauges / ps'i
<br />1-S n 0,2 r ID , R)ct c4( FA.) 0,.., 1-1 -r-i i,---tt s 5 d a s- • Skimmer & Gutters
<br />Back Flow Prevention
<br /> Ne L cz--r•47 5 oN. S Y-011 a 1 a r s Lct - t - tc_ LAJ z.-:i r cl.E.:o rs , ig--- Main Drain Cover
<br />2 re-: I- 2 tiu -e e_K_3 • El"' Equalizer Line Cover
<br />CONSTRUCTION J
<br />,6c.5 I reAA. t--/ GU) ZOO .-2 _ c..A.j c)..--rt-e-LAdi c...... •41-1) 1-1--i) /1 . . _ u- Pool Shell
<br />s.,3- 6 p ck cji t o r`t rut., (RA,,,....c4 CI Gt--yt.GLI1-41- Ck k-/-42-P frZ) tl...4 h • 5 E - Fencing/Gates
<br />0-- Decking & Coping
<br />Kee-p .‹. pc). c •-•,..a_ok r 71 r - 1 .4 - i I i..-1-- L.,,,. A r cc...4: rut° • Wade Pool - 2 Main Drains 1-1/4 \
<br /> L L4. ?<Lc 49 -p cillcor;,, („1-- 1 , 6 - 1.6-• b a r pm SAFETY EQUIPMENT
<br />Er Rescue Pole
<br />Ei, Life Ring 61.-4 Czt...-7-,...u..A.4 c_ ,))--1. da-s- We) . run
<br />('-' Pr-0 oar tZ:7Y- rta..o -IWO ry-L1 40- -ft ci..4Ld.4 EV Safety Signs
<br />Lifeguard ) i [9'..- Pool/Deck Lighting
<br />a Ladders/Hand Rails
<br />Er Depth Markers/Tiles
<br />• First Aid Kits
<br />D---• Emergency Shut-off Switch
<br />RESTROONIS ,
<br />Er . Showers
<br />a Toilet & Dressing
<br />• Er Ventilation
<br />WATER QUALITY
<br />- Chlorine
<br />Er pH
<br />Er Cyanuric Acid
<br />Ei-'" Clarity
<br />III Test Kits
<br />MISCELLANEOUS
<br />Supervision & Control
<br />2-- General Sanitation
<br />Er Algae
<br />pe31 5 CO1 /4-
<br />Influent: 1 01
<br />0 I IO Effluent:
<br />Time In: 1 0 -. 1Recei—ed By: _ _____---/-- Inspected by:
<br />Time Out: 1 i :16 / ,--zi( ....- 7YIPLA:k t2c—e 4,t) 11,-.2ciu-cf-,
<br />EHD 36-01 5/26/05 Page j__ of
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