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ip <br />SAN JOAQUIN COUNTYENV. -)NMENTAL HEALTH DEPARTM. r <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: I ✓1 k-bDater, <br />Address: re m, L; City: Zip Code: <br />Owner/Operator: Telephone: (4 <br />— 0 <br />Program Element: ? ( - Program Record: 7 Inspection Type: /7//l7 Z( (_ 71 k', <br />Flow Rate (gpm): <br />pH: <br />% <br />Chlorine(- ppm : <br />S Q `l/i— <br />C. <br />Cyanuric Acid (ppm): <br />'1 <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ Filters <br />l /J Df <br />❑ Pumps <br />Chlorinator <br />❑ Flowmeter <br />C �� <br />❑ Gauges <br />.�� e <br />C Itf /` y <br />❑ Skimmer & Gutters <br />El Back Flow Prevention <br />�` ,/ <br />` !i� <br />El Main Drain Cover <br />❑ Equalizer Line Cover <br />-. CONSTRUCTION <br />^) <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />/� a <br />❑ Wade Pool - 2 Main Drains <br />r _ <br />_ - SAFETY. EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />- <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />— <br />— <br />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 />Time ln: �7j <br />Receiv B I <br />y <br />Inspected by: <br />C,12,0m.e-p <br />Time Out: ' d <br />.HD 38-01 5-8-12 SWIMMING POOL OR Page _ of _ <br />