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P. In.. SAN JOAQUIN COUNTY <br />�1 ENVgONMENTAL HEALTH DEPARTP' ,IT <br />.`1868 E . Hazelton Avenue, Stockton, CA 95213..,-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: (/(,(/ ✓ M V7 l> Date: / s )113 <br />Address: 11 J.,5' 1 N rt City: LMufftykZip Code: <br />Owner/Operator: w f . Telephone: D <br />Program Element: -lj �( Program ecord: (y 03j 1 Inspection Type: i, -LL <br />Flow Rate (gpm): <br />1 <br />pH: <br />Chi rine,(p TL <br />r �� <br />0,0CC- <br />Cyanuric Acid (ppm): <br />`% O <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT. <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />i4 t vA t 4' v tl L Q if <br />��ll <br />❑ Pumps <br />�f LVL I <br />❑ Chlorinator <br />❑ Flowmeter <br />V' _ <br />t N 1 <br />❑ Gaugeslm) <br />I V1_ <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />P6 & �� <br />❑ Main Drain Cover <br />nm <br />❑ Equalizer Line Cover <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />t <br />Wade Pool – 2 Main Drains <br />E]_ <br />SAFETY EQUIPMENT <br />❑ Rescue Pole _ <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />— <br />❑ PooI/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS:- <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />---- ---- - <br />.. WATER QUALITY <br />Chlorine <br />_❑ _ <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />,,/ / ,,. // / „I <br />(,� 1- lf' IQ N •. %q�/ICN l MW' <br />❑ Supervision & Control <br />7G_r j6 <br />� 0 <br />El Sanitation <br />❑ Algae <br />t" <br />A) 4 . 1 1 � V M 1t A417_. <br />Influent: .l S <br />.7 U� <br />Effluent: <br />/(•{ `hl'j'� �� �/�J (/V1 <br />YPVM 1804 2— <br />Time In: II <br />Received �,y:,r� <br />Inspected by: <br />f <br />Time Out: 1 ti <br />EHD 36-015-6-12 SWIMMING POOL OIR �/�� — J /�` 1 �'�� Page _of_ <br />