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SAN JOAQUIN COUNTY
<br />EN 'a -'0NMENTAL HEALTH DEPARTI, NT
<br />1868 Eaat Hazelton Avenue, Stockton, CA 952u,-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: (14 cd1/4 4-ef..ct , t ci.„ ,,,, r_e_ a ,,,,i _ 5 . c 0,3 rtt,„
<br />/- "-
<br />Date:
<br />Address: cg-,)3 C IAA cki--()NibrS Dr.c City: ,----c. (...4-64,.‘ Zip Code: qc- 2.1c
<br />Owner/Operator: 34ç G ,e ( 4_ S5 L-c-i-c.--- Telephone: cis- 7-5- 7,...)-?
<br />Program Element:—Kj ( 1 Program Record: O3 (d t c:60 Inspection Type:
<br />Flow Rate (gpm):
<br />Pc..0 r
<br />pH:
<br />1 .'7-
<br />Chlorine (p m):
<br />ac.r—
<br />Cyanuric Acid (ppm):
<br />I (3C)
<br />Temp: Reinspection on or after:
<br />Other:
<br />'(-‘ 4:10 %5t9r 7 (-1 G.e+ /
<br />--4=
<br />RECIRCULATION EQUIPMENT EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />Filters (
<br />• Pumps
<br />0 "itsz_ Le • Chlorinator c_iyq„,..4-,,-( c_ cA_c_c oe is /1-cDo
<br />MI Flowmeter
<br />kk, IA' laSISCA_Q-9- CurV.__ 14,Q, c wk4-Ck ( e CA, iikle."— . Gauges
<br />) 0 6 _ PS:ter\ • '*. :) cka,—/ 5 • Skimmer & Gutters
<br />• Back Flow Prevention
<br />CD Ily2 e e,,e.-L, 5 I," IS /01/4.c_lc (-,3 4L..9..._ M Main Drain Cover
<br />akCiJt4-,,, 0 fr1461."_ti_ , leL & GAIT-E.s5 • Equalizer Line Cover
<br />CONSTRUCTION
<br />ot, c c..k r re.,(1 Of- rkec,--) • Pool Shell
<br />6 k•-‘12- s k._, 6,A ',of- ..0 -zGA--- --->sf--1,14. -; _L c$, ( • Fencing/Gates
<br />III Decking & Coping
<br />ec.....fr__Ii., 41,4,_. C.7‘3.-4- Pro v (.J___ f2-_ . • Wade Pool —2 Main Drains
<br />SAFETY EQUIPMENT
<br />• Rescue Pole
<br />• Life Ring
<br />• • Safety Signs
<br />III Lifeguard
<br />C" ( C. CAC— f N (-4)ii a k
<br />r
<br /> ---/ 5 4-00 Ri_st,.. yoart-1.1— M PooVDeck Lighting
<br />E Ladders/Hand Rails 4
<br />tAA.Ci.( 1'V—ft° t o' .,2(a.,3 Pc4/93-• E Depth Markers/Tiles
<br />• First Aid Kits
<br />1 Emergency Shut-off Switch
<br />RESTROOMS
<br />Showers
<br />II Toilet & Dressing
<br />Ventilation
<br />WATER QUALITY
<br />• Chlorine
<br />• pH
<br />• Cyanuric Acid
<br />E Clarity
<br />• Test Kits
<br />MISCELLANEOUS
<br />• Supervision & Control
<br />M General Sanitation
<br />M Algae
<br />Influent:
<br />Effluent: c i
<br />/
<br />5/
<br />i
<br />.,
<br />Time In: I 3 e (....x. Rec ived B : Inspected b :
<br />Time Out: ( I I: ( /UN/C/2. it,k_c.-1,4,,c,-,•(._.
<br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page of
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