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liN,% SAN JOAQUIN COUNTY
<br />ENVIRONMENTAL HEALTH DEPARTMENT
<br />304 East Weber Avenue, 3' Floor, Stockton, CA 95202-2708
<br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd
<br />SWIMMING POOL OFFICIAL INSPECTION REPORT
<br />/5 76
<br />0.77 On ne j.
<br />(009-659(/
<br />Name of Facility:i'd2,4_,I. _./A__ t _5 Date:
<br />Address: /(/, 9 / 4/kji &A/a.,;_,..1_,, ci City: ,_5r 6 i Zip Code:
<br />Owner/Operator: p14.196-4)47 r-i-,...! en 7-71...e_4,...4- Telephone: q56 _38 7 8
<br />Program Element: 3(0 (I Program Record:--1 p 4_0 360 v5.2_ Inspection Type:
<br />Flow Rate (gpm):
<br />? 0
<br />pH:
<br />(7 , (4.
<br />Chlorine (ppm):
<br />a 2. corrtio
<br />Cyanuric Acid (ppm):
<br />t 00
<br />Temp: Reinspection on or after:
<br />Other:
<br />EQUIPMENT .RECIRCULATION The marked violations represent Health & Safety Code Violations and must be corrected as indicated:
<br />Et= Filters
<br />CD (itilASOV.e c.--f Li5 k\-,+- C..-S vL) 0 r t•-t: ri • T.L+ p ool a" Pumps 5
<br />Ir.P ..... r v ti-14. i.."-‘ 1 - 2_ A, 1 -e_P AL-S . N. 1 D r‘-isi-.1- SkAii PA rrt-f rl El^ Chlorinator
<br />a- Flowmeter
<br />pa S
<br />CaLo v.1/ ci u rt fi I lisk.4- & fi2ce- ot , a"- Gauges
<br />(5) PO 0 I C_oLect cA. -1-.1 .a..-vDt 1-1 ok_, r 3 ruo-F- env &'.-i1."..k, 61 . a Skimmer & Gutters
<br />• Back Flow Prevention
<br />'R I \ e--"- 5t S b(-.) 8 -10 -0 • g- Main Drain Cover
<br />(;) 'bo-H J\ke.-en 8_ ,-...$34- 6.g.:..-7 \ --r-i II e_4,4 -b--1 , —Le_c_c-, d D-- Equalizer Line Cover
<br />CONSTRUCTION .....)
<br />lo b-4x 0.,k.10,/, n-t___ # 14- Le v,e_i .s clex,;. r , Pool Shell
<br />(ei E-c-e kt e....-NA" cut& .f.._ el-Oe s n' -1.-- 5-e-e,-, 6.4 IA..)(9-1- I(-t: )15 . (..) 5 Ei--- Fencing/Gates
<br />D.-- Decking & Coping
<br />g-k-f Ctt.--e...P... b ,-) I ---4- ...i.o.,..ALs • • Wade Pool -2 Main Drains
<br />SAFETY EQUIPMENT
<br />111^ Rescue Pole
<br />R:>orl a ce,...),-„Lp le, a Life Ring
<br />Q e-k140 v-i' /Le_ Ltud___R, -f-zro kti---, . ata,:,,-14-...,:.,1 tkv.4_,Q_ , 2- Safety Signs
<br />• Lifeguard P-3/0,
<br />64. 41.4.4_0----, I . s- i o - 0 . p-- Pool/Deck Lighting
<br />a Ladders/Hand Rails ( 0..._ 1-1..,•,N h -Po I iipt_Lt a AA./ (L.,& i er, • o s Ig' Depth Markers/Tiles
<br />12p_ an o4....i_ "...tut 4%) re cli_t Le_ te 1.,_4.....4 -to 0 'I ci-e--r- • First Aid Kits
<br />M Emergency Shut-off Switch p-Vis.
<br />I 00 p rri - RESTROOMS to
<br />• Showers NA.
<br />• Toilet & Dressing
<br />1 • Ventilation
<br />WATER QUALITY
<br />2 Chlorine
<br />111--- pH
<br />2 Cyanuric Acid
<br />III-- Clarity
<br />Er Test Kits
<br />MISCELLANEOUS
<br />g Supervision & Control
<br />El- General Sanitation
<br />CA/YAr4 CU,Dt" _1. cpitid 3-5 0-Tj)._01 •b'ti -1--i I 4.ezt g Algae
<br />Influent: )..e..i
<br />? Effluent: ,
<br />Time In: q , 0 ..erVeid ve ,B i• A ^ Inspected by:
<br />lz-4.4 C_ItG•01,-4.
<br />Time Out: i 0 ', 1 0 , -7Y14:4-1.A. -'---11 kV,
<br />EHD 36-01 5/26/05 Page _L of I
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