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p.wlp.. SAN JOAQUIN COUNTY <br />ate•. <br />" ' ? B RON MENTAL HEALTH DEPART' `5NT <br />q < <br />'• 1868 Last Hazelton Avenue, Stockton, CA 9S- _ 3-6232 <br />Telephone: (20 9) 46B-3420 Far: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: -,- Date: 716-1116, <br />Address: te jwy j Q A40 City: Zip Code: <br />r <br />Owner/Operator: ✓ I AIVI" q.1 r,4 /- I- Telephone: <br />Program Element: 3V/1 Program Record: Inspection Type: /11(Jl VtV1''- <br />Flow Rate (gpm): <br />\0 <br />pH: <br />V 0 <br />1:0 <br />/ <br />Chlorine (ppm): <br />3 , (rr I;-- <br />e <br />Cyanuric Acid (ppm): <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 />El Pumps <br />Chlorinator <br />E]rs <br />❑ Flowmeter <br />t dam!` 14A At� 1044 <br />�- Cwt 'WV"ws- <br />I <br />❑ Gauges <br />Z a G - <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention- <br />❑ Main Drain Cover <br />, <br />Or -E <br />❑ Equalizer Line Coveris� <br />❑ Pool Shell <br />❑ Fencing/Gates <br />_ <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />3 1�iQ Q <br />SAFETY. EQUIPMENT <br />O'LINW / Q <br />_ Rescue Pole _ <br />❑ <br />❑ Life Ring <br />❑ Safety Signs/ <br />[:]Lifeguard <br />_ <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />4 <br />❑ Depth Markers/Tiles <br />S t r <br />✓C <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />11 A6 N Oklq <br />RESTROOMS <br />"/ <br />„Qfd-Pit,1/` O <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <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: 1(0 1 <br />Effluent: % <br />Time In: /.�.�•S <br />Received By: <br />Ij;�t ed by: <br />Time Out <br />EHD 36-015-8-12 SWIMMING POOL OIR Page <br />