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0 I Date: - L -/2 Name of Facility: _ <br />Address: LIS I LI (y) c cmckw- 6+. City: 6.-1.-t) c.4‹..1.,0 " Zip Code: q 5 •?...0 -7 <br />Owner/Operator: 3 a WI • 61 no a ryiet 0 Telephone: 1.4 7 4.1_ 8 5 I <br />Program Element: 3 Program Record: p Ro 36o I-2-0 Inspection Type: - IR rot -1-). el 4....i toil <br />Flow Rate (gpm): <br />7 <br />pH: <br />1 -3 <br />Chlorine (ppm): <br />, <br />oVer2617pmR- <br />Cyanuric Acid (ppm): <br />ov•er loc. <br />Temp: Reinspection on or after: <br />7 Other: <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Li- Filters <br />R' Pumps <br />Et Chlorinator <br />Flowmeter <br />Gauges <br />E' Skimmer & Gutters <br />Back Flow Prevention <br />[74" Main Drain Cover <br />(7) C tan r i-evp 1.1.4-6)-) • )—txt-e.i Lc la_t_ <br />oc, on-HI rt Ina c_-1-<.ot <br />CiPpea,r4--rn-erl÷ <br />1eve-1 A ux.] 13,42:h4-47-e r <br />- 0 <br />I -6- t o -o • Cto <br />Equalizer Line Cover <br />NMI <br />CONSTRUCTION <br />g" Pool Shell <br />I- Fencing/Gates <br />1:e'" Decking & Coping <br />Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />L- Rescue Pole <br />E- Life Ring <br />Et- Safety Signs <br />Lifeguard f1 /4 )/A- <br />p- Pool/Deck Lighting <br />u- Ladders/Hand Rails <br />3 CAdfAnuriC. Lcii j-er [Dope m reLZ, <br />hirun aoi3 • Ltv 12.1 51.Lovt4 unatr- 0 <br />pLo yylt Cds 6-1-u_e4/ CLool p to <br />neu_kat vuor 11_3- <br />01- mo vue_ -to en ypo+)--t L <br />.y.rt tk LcoLAC- -fro ry. -p 72-ep.a:4, <br />a 5.4- ca a ;A. o-C-Pi <br />Er Depth Markers/Tiles <br />First Aid Kits <br />Emergency Shut-off Switch <br />RESTROOMS <br />Ef Showers <br />E' Toilet & Dressing <br />Er Ventilation <br />WATER QUALITY <br />1 -"" Chlorine <br />pH <br />[;1- Cyanuric Acid <br />IR' Clarity <br />Test Kits <br />MISCELLANEOUS <br />2. Supervision & Control <br />E General Sanitation <br />Er Algae <br />Influent: <br />Received By: Inspected by: <br />Effluent: <br />Time In: Cy z.)0 <br />Time Out: 10 3 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL 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 />cc- 16-4,a(ft4c-v- <br />c010-14-19 <br />El-ID 36-01 5-8-12 SWIMMING POOL OIR <br /> Page of