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SAN JOAQUIN COUNTY <br />ENVIF IMENTAL HEALTH DEPARTMEI <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.orgiehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: liti-OF Pat VC/4e Date: <br />Address: (j ((c, rv Pvei i. uvk , City: 94'i. h ,117 ki Zip Code: <br />Owner/Operator: vuti I--p_a njt_ Telephone: 91 11 — 03 ife, <br />Program Element: ew ( 2 Program Record: 0 3 y ..s.--2--) Inspection Type: 444.4 ru <br />Flow Rate (gpm): pH: Chlorine (ppm): Cyanuric Acid (ppm): Temp: Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />Filters — P.to I/ yvkAvtiq,( 4440 spa // , Pumps <br />/ #14-01/Y, IPA pet- rkto ( 117Q vtRce a e tov Chlorinator <br />• Flowmeter <br />61A /1 Swore, &Wee/ a v r 0' le kraolf • Gauges <br />hAft-e m a(yeti . III Skimmer & Gutters <br />• Back Flow Prevention <br />- J/04 /1 ha /kt/I solivato(X • Pain • Main Drain Cover <br />altitf t f • Equalizer Line Cover <br />CONSTRUCTION <br /> <br />iOn--/A N s-7 le Yiti 'pi- 1 ri1irk7F-el • Pool Shell <br />A 11 IP C/4 • C .42 • Fencing/Gates <br />• Decking & Coping <br />0 Pitt/1 ,e(„e 401.G64Y1A---e e VI ,II/P pk(fvvo Wade Pool —2 Main Drains <br />// Oe- , Wrk , <br />SAFETY EQUIPMENT <br />Rescue Pole <br /> aCt fi iq /drat / Or 0 / /In ilYt di 1,p/WEce- ' • - Life Ring <br />1 <br />lil .—./. / t/ ,' ' d79j/ Jetv( • Safety Signs <br />• - Lifeguard <br />410iti-v(it ,fl 71 1 ytruL /4 at- t . • Pool/Deck Lighting <br />rim p • Ladders/Hand Rails <br />• Depth Markers/Tiles <br />--Y--- 9Ai..1 c c.fr,t" ‘ii / / j i--, • First Aid Kits <br />AelfrkOt t //-- ra,k-, , Cm Mel IN Emergency Shut-off Switch <br />RESTROOMS <br />ernio 4-/C 0141 0( 7 r /nip - r , • Showers <br />Toilet & Dressing <br />/11 Jp(a--7 ()A fY — epirv il • Ventilation <br />v),,.. I WATER QUALITY <br />• Chlorine <br />• pH <br />• Cyanuric Acid <br />• Clarity <br />Test Kits <br />MISCELLANEOUS <br />Supervision & Control <br />• General Sanitation <br />• Algae <br />Influent: <br />Effluent: <br />__. <br />Time In:, (0 77 1 <br />Recei : - ..-- <br />Inspected by: <br />Time Out: 3 c , 1.iti , r k <br />EHD 36-01 5-8-12 SWIMMING POOL OIR Page of