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<br />-litikor/71
<br />SAN JOAQUIN COUNTY
<br />EP ZONMENTAL HEALTH DEPART NT
<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 />Name of Facility: .-r-.6.4c teAt -zskivil c'7-e- zztYi(--4:s 14 ‘4,-_e (f/pate: ce/i i /? (...,, i _6,
<br />Address: 1 43 (1...4.) ,revts 1, z .7. , City: s i...6.1A Zip Code: ti___
<br />Owner/Operator: R b c.., 5 cc.: vi, ,e cm
<br />Program Element: Program Recod: 6 •:7 ( k l . 013 r el
<br /> 4...e
<br />Telephone: CA-1- 3 if 41
<br />Inspection Type: 0 Lk* 171iL.Q.,
<br />Flow Rate (gpm):
<br />25
<br />1:7P:
<br />>g, i 0
<br />Chlorine (ppm):
<br />1_, (c.: 67., Cyanuric Acid (ppr„). .s o Temp: Other: g .,„,- ,5,0,.
<br />ahmxii-
<br />Reinspection on or after:
<br />MAJ = Major Violation OUT = Not in Compliance COS = Corrected on-site
<br />See reverse side for code sections and general requirements that correspond to each violation listed below. Items listed on this report as violations do not
<br />meet the requirements set forth in the California Health and Safety Code section(s) 116043, 116040, & 116050. All violations must be corrected within
<br />specified timeframe. Violations that are classified as "MAJOR" pose an immediate threat to public health and must be corrected immediately or be subject to
<br />closure pursuant to California Code of Regulations (Title 22 section 65545.
<br />VIOLATION MAJ OUT COS
<br />1 Pool Gates • • •
<br />2 Pool Enclosure • • •
<br />3 Safety Signs , r"'- •
<br />4 Safety Equipment • • •
<br />5 Restrooms and Showers •
<br />6 Hose Bibb Anti Siphon Device E •
<br />7 Pool Deck • •
<br />8 Pool Deck and Lighting • •
<br />9 Ladders and Handrails • •
<br />10 Disinfectant Residual • •
<br />11 Combined Chlorine Concentration • •
<br />12 pH Level 4- 1111 IVN
<br />13 Cyanuric Acid Concentration • •
<br />14 Chemical Water Test Kit
<br />15 Operation Records • •
<br />16 Water Clarity • • •
<br />17 Cleanliness of Pool • •
<br />18 Pool Shell and Tile • •
<br />19 Depth Markers • •
<br />20 Depth Marking Line • •
<br />21 Water Level • •
<br />22 Skimmer Assembly
<br />23 Pool Inlets and Outlets •
<br />
<br />N
<br />24 VGB Suction Covers • • •
<br />25 Spa Emergency Shut Off Switch • • •
<br />26 Spa Operating Temperature • • •
<br />27 Pool Equipment Room • •
<br />28 Safety Vacuum Release System • • •
<br />29 Recirculation System Operation • • •
<br />30 Pool Equipment & Plumbing Maintained • •
<br />31 Disinfectant Feeders • • •
<br />32 Chemical Control and Monitoring System • •
<br />33 Minimum Turnover Time • •
<br />34 Maximum Flow Rate • •
<br />VIOLATION MAJ OUT COS
<br />35 Flow Meters • •
<br />36 Pressure and Vacuum Gauges
<br />37 Electrical Hazards • N •
<br />38 Filter Cleaning and Maintenance • •
<br />39 Wastewater Disposal • •
<br />40 Spray Ground UV Disinfection • • •
<br />41 Spray Ground Pumps Interconnected • •
<br />42 Spray Ground Recirculation System • • •
<br />43 EHD Approval Required • • •
<br />44 Lifeguard Certification
<br />45 Lifeguard First Aid Equipment • •
<br />999 Other • • •
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<br />ALL EHD STAFF TIME ASSOCIATED WITH BRINGING THIS FACILITY INTO COMPLIANCE, INCLUDING REINSPECTIONS, WILL BE BILLED AT THE CURRENT HOURLY RATE,
<br />Time In:
<br />(0
<br />Time Out:
<br />1. 7
<br />Received By: s.,....L.:2 _, Inspecte
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<br />A
<br />14-7 n , i
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<br />1 II
<br />SI-eAteht\ Mari 0 .1 Page 1 of END 36-01 Rev. 08/08/16 S\AIJMIt/II POOL OIR
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