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�fn.. SAN JOAQUIN COUNTY <br />E /IRONMENTAL HEALTH DEPAF TENT <br />186b East Hazelton Avenue, Stockton, CA 9uz05-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: k Date: <br />Address > > (j YK ULd Lkv%&VV—City: Zip Code: <br />Owner/Operator: V),U" Old- JAJ Telephone: <br />Program Element: <br />Program Record: i) S Inspection Type: k-tl <br />Flow Rate (gpm): <br />1 V v <br />•ppH1: t, <br />1 -a-" --` <br />Cjnn4(ppm): <br />.5 <br />d.yc� <br />Cyanuric Acid (ppm): <br />6 <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 />JC <br />❑ Pumps <br />a <br />❑ Chlorinator <br />❑ Flowmeter <br />2- # p <br />El Gauges <br />((Q WAJWo- I <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Covert <br />❑ Equalizer Line Cover <br />"CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT717M <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/files <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />❑ Supervision & Control <br />❑ Genera( Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In .+ <br />Received y• <br />Ins ected by: <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL OIR 61 Page _of — <br />