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P.�en.. SAN jL)AOUIN COUNTY -- - ' % ENN ONMENTAL HEALTH DEPARTN T 1868 Eaat Hazelton Avenue, Stockton, CA 95208-6232 Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd ,SWIMMIN-Ca,--POOL OFFICIAL INSPECTION REPORT NameofFacility: Date: (F1 //u / '�P� Address: Aj ( city: I—®Gi'L Tc r"�- Zip Code: Owner/Operator: 1;q -Z/t't-lil,1 it, S;L Telephone: 0 Program Element: 31,111 Program Record: L _11, 3 Inspection Type: V�.c Flow Rate (gpm): 110/) pH: (� Chlorine (ppm): Gni .0 �, Cyanuric Acid (ppm): ? o Temp: Reinspection on or after: Z1 C ✓ to Other: RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must becorrected as indicated: ❑ Filters ❑ Pumps ❑ Chlorinator ❑ Flowmeter I 1 C ❑ Gauges r— IJ a Uv'L ❑ Skimmer & Gutters ❑ Back Flow Prevention ,' e ! E] Main Main Drain Cover ❑ Equalizer Line Cover CONSTRUCTION 10441._ ❑ Pool Shell ❑ Fencing/GatesUeJA(ff ❑ Decking & Coping E]Wade Pool -2 Main Drains 4P y I"f/ii, �A L,,- Oh r� irvl hQ ll?!r - SAFETY EQUIPMENT V f/ 'cp _❑ Rescue Pole ❑ Life Ring ❑ Safety Signs ❑ Lifeguard ❑ Pool/Deck Lighting ❑ Ladders/Hand Rails K _ r ❑ Depth Markers/Tiles -call ❑ First Aid Kits ❑ Emergency Shut-off Switch R.ESTROOMS ❑ Showers _ ❑ Toilet & Dressing ❑ Ventilation WATER QUALITY ❑ Chlorine ❑ pH ❑ Cyanuric Acid ❑ Clarity ❑ Test Kits - - MISCELLANEOUS ❑ Supervision & Control ❑ General Sanitation ❑ Algae Influent: 1S Effluent: Time In: �S ecei a By: Ina ected by: I" Time Out: EHD 3"15-8-12 SWIMMING POOL OIR V Page — of