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SAN JOAQUIN COUNTY <br /> ENV,. ,JNMENTAL HEALTH DEPARTM, T <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telqphonp:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> S-AVVAM4WGEP-0-a'L OFFICIAL INSPECTION REPORT <br /> Name of Facility: •? Date: i <br /> Address: �'y. city: SJDL'y tCA4 Zip Code: <br /> Owner/Operator: Ale. lur)0�7' cf Or,G Telephone: '7,?, <br /> Program Element: Program Record: Inspection Type: I h C <br /> Flow Rate(gp H: Chlorine(ppm Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> - 7 LOther: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> El Filters <br /> [I Pumps <br /> El Chlorinator <br /> El Flowmeter V 101(Ab-(j-�4S UTD?, <br /> El Gauges <br /> El Skimmer&Gutters <br /> El Back Flow Pr6vention <br /> 0 Main Drain Cver <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> El Pool Shell <br /> E:1 Fencing/Gate$ <br /> E:1 Decking&Colling <br /> E Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT <br /> F-1 Rescue Pole <br /> F1 Life Ring <br /> F-1 Safety Signs <br /> F-1 Lifeguard <br /> Ll Pool/Deck Ligting <br /> El Ladders/HandIRails C) �IX4- M <br /> ❑ Depth Marker /Tiles <br /> ❑ First Aid Kits <br /> E] Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> El Toilet& Dressi6g <br /> D Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> E:1 Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> E:1 Supervision&qpntrol <br /> El General Sanitatn <br /> Ej Algae <br /> Influent: <br /> Received By: ln,�-pected b <br /> Time In: <br /> Effluent: Time Out: <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page of <br />