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q�Iy. SAN JOAQUIN COUNTY <br /> H ^"� EM ONMENTAL HEALTH DEPARTM -NT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: ` Date: "Ll <br /> Address: q 04 C(� /V Hwty City: Zip Code: <br /> Owner/Operator: OR-A&A-1- ✓�l01- "" Telephone: <br /> Program Element: I Program Record: D 3,U1165 & pInspection Type: JG� <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> RECIRCULATION tt U °FNfENT�i The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters a <br /> El Pumps V v <br /> ❑ Chlorinator ` {/�(,� ` <br /> El Flowmeter r, <br /> ❑ Gauges &A are <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention ,,/ <br /> El Main Drain Cover ko Pl�'( D / IJ f <br /> ❑ Equalizer Line Cover •�i�C!'ttif�l( / !'!✓� v <br /> CONSTRUCTION ' / <br /> El Pool Shell kh r� � V^( <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains ✓� Cr �� Gr <br /> SAFETY EQUIP) ENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring --r- - <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 <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: <br /> Time In: / Receiv By. Inspected .,by: <br /> Effluent: f S , G'7` <br /> Time Out: e <br /> iD 36-01 5-8-12 SWIMMING POOL OIR Page_of <br />