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r -Nin. SAN JOAQUIN COUNTY <br />EN' ONMENTAL HEALTH DEPARTII JT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />�.y Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL 119,SPECTION REPORT <br />Name of Facility: Date: wa-54 5 - <br />Address: City: -.J Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: - Program Record:' - Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: v <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violaons represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />VL <br />❑ Chlorinator <br />❑ Flowmeter <br />_ e <br />4 0-4AJ� G r <br />El Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />� <br />❑ Equalizer Line Cover <br />-CONSTRUCTION <br />❑ Pool Shell <br />y� <br />v� .GD' et <br />ElFencing/Gates <br />❑ Decking & Coping, <br />p <br />r4/ <br />El Wade Pool — 2 Main Drains <br />/" k4f, <br />SAFETY EQUIPMENT.... <br />❑ Rescue Pole <br />� g / p_ <br />L�.ZL� Tv�i <br />[I Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />Com! <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />6 <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cya <br />❑ Clari / <br />❑ Test Kits' .."- <br />:-MISCEE - S- <br />❑ Supervision- Control <br />❑ General Sanitation <br />❑ Algae <br />lb OAA -xi <br />Influent:a. <br />Effluent: <br />Time In: <br />Received By: 1 <br />�"��L <br />s ec d y: <br />,03' <br />S <br />Time Out: <br />EHD 36-01 5-6-12 SWIMMING POOL OR Page -I-- of <br />