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aPa�Ia SAN JOAQUIN COUNTY <br /> e <br /> '= ENVIKONMENTAL HEALTH DEPARTMLrvT <br /> t 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �•F:. Telephone:(209)468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: % r Date: <br /> 0C Q1 <br /> Address: Lem.`- City: Zip Code: ,JS > -10 <br /> Owner/Operator: h SG t ot c Telephone: jO <br /> Program Element: / '3 Program-Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(pJm�): Cyanuric Acid(ppm): Temp: Reinspection on or after. <br /> Lf 2 3 <br /> 7, 5.� 0 © Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> I .v�Q c� 1 f t 5 Q r e o*c�T W f Vit <br /> ❑ Skimmer&Gutters a - rP 4 c-e— <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> _...=:CONSTRUCTION - <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> `RESTROOMS` 7 <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 /> ❑ <br /> Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: oda Received By: Inspected <br /> nnby: <br /> Effluent: Time Out: 11 : J V1�/111L � <br /> EHO 38-015-8-12 SWIMMING POOL OIR Page—of <br />