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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMtNT <br />• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: �� �� T"CO Date: ",—Z.b—kZ <br />Address: k�> rj. 1 O City: Zip Code: Q S Zy <br />Owner/Operator: 5 _ Telephone: V42— S � <br />Program Element: 1, Program Record: 3t0c)' -{j Inspection Type: ^ �-Q• <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm): <br />C a.4c <br />Cyanuric Acid (ppm): <br />3� PPm1 <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 />ET Filters <br />B Pumps <br />C KLA3N--�r—Q <br />0 Chlorinator <br />Flowmeter <br />Gauges <br />` <br />j <br />Skimmer & Gutters <br />Back Flow Prevention <br />Rr Main Drain Cover <br />[� Equalizer Line Cover <br />CONSTRUCTION <br />LS <br />(� Pool Shell <br />C 12 <br />0- Fencing/Gates <br />La' Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT. <br />Rescue Pole <br />Life Ring <br />0 Safety Signs <br />L2� Lifeguard <br />(fi Pool/Deck Lighting <br />[a Ladders/Hand Rails <br />Depth Markers/Tiles <br />0 First Aid Kits <br />Emergency Shut-off Switch r% <br />RESTROOMS <br />B Showers <br />B Toilet & Dressing <br />p' Ventilation <br />I <br />WATER QUALITY1 <br />L2 Chlorine <br />0 pH <br />❑ Cyanuric Acid <br />Clarity <br />© Test Kits <br />MISCELLANEOUS <br />.❑ Supervision & Control <br />Ej General Sanitation <br />.Rr Algae <br />Influent: Iq <br />Effluent: <br />C <br />Time In: <br />Re iv d B <br />Inspe t d by: <br />L: \f\\r e <br />Time Out: <br />EHD 36-015-8-12 SWIMMING POOL OIR // Page — of <br />