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p•9•9•IN. SAN JOAQUIN COUNTY
<br />ENVimONMENTAL HEALTH DEPARTMENT
<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 />c( fry, Date: 7 - -/ Name of Facility:
<br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />C] Filters
<br />El Pumps
<br />CI Chlorinator S 4- -e; 1 -•:5 LA) 1`.s oper-04.4 /#1.5Pk.lD9
<br />111 Flowmeter
<br />CI Gauges
<br />El Skimmer & Gutters
<br />I=1 Back Flow Prevention
<br />LI Main Drain Cover
<br />ptc ( c,,c 4- A 6 k 0"/ b
<br />Ti-vp ;s cy-c(cLi ko/e oNs
<br />E- 4. s d itvz_ ,0 1 0),
<br />1:1 Equalizer Line Cover \„:2- 7e..1 („) 5 1 •-•••••.. rv1 /40 S -(1(.3 kS ev...L/
<br />CONSTRUCTION
<br />111 Pool Shell
<br />CI Fencing/Gates CO wai k_01/4\1 if'ep"
<br />rvx ,'s f 1,-‘ - ta‘t P-3 , 27- PA I Zo 2
<br />111 Decking & Coping
<br />111 Wade Pool — 2 Main Drains
<br />111 Rescue Pole
<br />SAFETY EQUIPMENT CO 71..2 ci-dor-1 f.eL..ef s 4-et
<br />CI Life Ring 7It-J-02^ ) — 1 0 p/o,
<br />111 Lifeguard
<br />CI Safety Signs (r1 /e,Jc 5 711) /ot.-- • it q t A /Let
<br />, 0. El Pool/Deck Lighting
<br />RESTROOMS
<br />0 Depth Markers/Tiles
<br />ID Ladders/Hand Rails
<br />El First Aid Kits
<br />El Emergency Shut-off Switch
<br />CO Ike. ikt (1.444.01 Q_Arf4ert4- CA e-e 1^J 0,(4-2fri 9
<br />Koatocki‘y- r-vk
<br />C-7) TA nAv4-er t's 5 C-1c-. 'P° t'k rA-koi
<br />0 Showers 1-freN 5 to - ePP-z,v- g
<br />0 Ventilation
<br />111 Toilet & Dressing CD Ter.,eAct.f,1/4 ,-,e_ s, 5 4-0 kc4 /("W t'ecisa ;,‘ (O'r (&2(O
<br />WATER QUALITY \ e •Cr (tA. /
<br />111 Chlorine
<br />111 pH P lq 0L-.)
<br />El Clarity
<br />ID Test Kits
<br />C1 Cyanuric Acid Ttik_ s pc, S Iva .-kre r-S 4. rot,.,1frx (,•-) e- ,
<br />ct a t:pp-e d R172 lgs
<br />111 Supervision & Control
<br />CI General Sanitation
<br />MISCELLANEOUS au '
<br />0) CAA.
<br />5 eV( 15 _s Picot)/
<br />11 Algae
<br />ot-44,„
<br />50'A
<br />-3 2-
<br />Influent:
<br />Inspected by:
<br />(,) Effluent: Time Out: I
<br />otc,, c ttl or ;‘,2, le oel
<br />ei
<br />;
<br />Time In: a)
<br />1-r ;s Prc,c_42.
<br />/
<br />1<-,
<br />I _
<br />END 36-01 5-8-12 SWIMMING POOL OIR p,o Fe_ deas00- Page of Lth•-t-/
<br />1 5
<br />Pt cif I • —
<br />7.,,P I
<br />Address: e:I.,(D (7,- Pere.ritNer- S Li C • City: .1--z(--0 4.--.. Zip Code:
<br />Owner/Operator: Al G )„4--er c-1 1 ,j, S7 („k4cd_ A 1.--› L_ p Telephone:
<br />Program Element: 36 /// .56/ 2 ,_ Program Record: 0 -3bolcist (,) 3Go j (60 Inspection Type: kw--F r i•-%.5,..
<br />f
<br />Flow Rate (gpm): Ns c:. (-AA pp° ( p3A pH:
<br />-7, I
<br />Chlorine (ppm):
<br />0
<br />Cyanuric Acid (ppm):
<br />9 c.
<br />Temp: 1 as — a'r- Reinspection on or after:
<br />Other: .1.- t,i0,--ik s-) 1 ' 9 1.0 I . 2 _ c_ u 0
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