SAN JOAQUIN COUNTY
<br />EN :ONMENTAL HEALTH DEPARTI ,\1T
<br />600 East Main Street, Stockton, CA 95202-3029
<br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd 4:00*i
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />Name of Facility: 21) (:"., I.' ; v--) / ,!_ 7//iCt rN (.. r- Date: 6-1041
<br />Address: I 6 1 0 ---r-r.)„, i if d City: Trc, Zip Code: q ..0 6 v
<br />Owner/Operator: 3 C 4. Par Ji,c.- i (Nil ,A) ) Telephone: Fc jy.?) g. 7
<br />Program Element: '-') (. I I Program Record: 3 6 0 y 0 i Inspection Type: gc.,,,, j , ,,,,
<br />Flow Rate (gpm): pH:
<br />7 o
<br />Chlorine (ppm):
<br />fi 3 S'
<br />,,
<br />Cyanuric Acid (ppm):
<br />z • , 1 ) (
<br />Temp: /IIi ii 11- Reinspection on or after:/
<br />Other:
<br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />IP Filters
<br />(-0 6) )--) 1; 7 0 el I riljyrj— C=4:0- g Pumps
<br />00.-.,, to; nod dos-0d u, A 4 ; i p ; f g Chlorinator
<br />121 Flowmeter 7.2- 7, o p,d a re -; ri,ec I ; CJr\ ocruirs- II ( Gauges .
<br />02 BtA. Idi`-4 p al 190 1.4c„.1 0 foc/, Cleo t ) R' Skimmer & Gutters
<br />Ef Back Flow Prevention
<br />to a Main Drain Cover
<br />,i s 4,„. 4- d ,I le j . Equalizer Line Cover
<br />CONSTRUCTION 3 Pro I/ ; de)'• •f r., Li, J 1 111 Pool Shell
<br />GI 44-aci-ed he , tA): d I PI rd Fencing/Gates rep e
<br />Decking & Coping 0 C he p 001. Cc A- ec .I- Pr;cr- -ia cpeil,"h Wade Pool - 2 Main Drains ,4 6' r a u ; de n i 5-4 a ;1 K1 J- ce-, S: ie,' . SAF ETY EQUIPMENT A-
<br />E Rescue Pole
<br />((_) er o v; de p ool hout rs Q ind Er Life Ring
<br />Co co p a c ; t y C) 0 0 IN s-',/ h J.
<br />[V Safety Signs
<br />12/ Lifeguard
<br />c
<br />1-;, A 4- ‘-/ h co-wet -t e r i ,' de . 13/ Pool/Deck Lighting
<br />0/1104/e.. Lion ic,r , rn to a 41: q 1 ,>. L3' Ladders/Hand Rails
<br />Y Depth Markers/Tiles
<br />[I( First Aid Kits
<br />MI Emergency Shut-off Switch
<br />RESTROOMS
<br />. Showers 4J/ 3-
<br />III Toilet & Dressing
<br />CO ) I Car r 10 ' ; hS peC I;C/4--) go re-0,,,,, II Ventilation
<br />961-,316)'
<br />z-,- Chlorine
<br />a SH
<br />ill
<br />•
<br />Cyanuric Acid
<br />Clarity
<br />[1--- Test Kits
<br />Supervision & Control
<br />hid 4 12 /\10J Ci b ie Jo c 'loc. ,t 6 r - IIK General Sanitation
<br />vo le : ir4;1;zer 1 .,ic no 4- I e of a.--Algae
<br />Influent:
<br />Effluent:
<br />f
<br />Af co le: Pool 1.3 Cio sod few),olt/
<br />
<br />i 01 12; r; 1
<br />'(1) Time In : e i•vci, Received By: Inspected
<br />Time Out:
<br />/7.--T:— ---
<br />-.11111111.1 06(tZ--4P
<br />EHD 36-01 7-31-09 SWIMMING POOL OIR Page / of
|