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W411W4001�f �f�0 V $cfi �/%f/! d{i i11$Y=>>r% `ff�a r U i 5'�`-'f£ <br /> oP4�N. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a Telephone: (209) 468-3420 Fax: (209) 468-3877 Web:www.sigov.org/ehd <br /> C/FOR <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: C ',`i kit I Date: — 157 <br /> Address: (,; . l,lJ 2) C4 t)c rcL I City: I (� G�{-j r Zip Code: -1 <br /> Owner/Operator: Telephone: &Lt L - C./ <br /> Program Element: ))(,1 I I Program Record: Piq '": ts,�" Inspection Type: UL 1 <br /> Flow Rate(gpm): pH: Chlorine(ppm):^ Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> FC <br /> Other:ther: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> PT Filters (or A-, C' S k.' ' jt C <br /> F?r Pumps <br /> [� Chlorinator <br /> Flowmeter <br /> [►� Gauges � ►'1.�, <br /> E? Skimmer&Gutters �- r',q <br /> ❑ Back Flow Prevention <br /> 9,'- Main Drain Cover ne of ✓ 2_w S <br /> E� Equalizer Line Cover Pro V-1 8-0- Gt k1 rm-e✓'Pf..2n / W L'� <br /> CONSTRUCTION <br /> [� Pool Shell 0-1C- `e 3' O <br /> Fencing/Gates r <br /> [}� Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> Rescue Pole <br /> Life Ring <br /> [� Safety Signs <br /> ❑ Lifeguard <br /> go" PootCDe6j Lighting <br /> [- Ladders/Hand Rails <br /> Depth Markers[Tiles <br /> [� First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> Showers <br /> E' Toilet&Dressing <br /> Ventilation <br /> WATER QUALITY <br /> Chlorine <br /> [� <br /> pH <br /> [v]' Cyanuric Acid <br /> [� Clarity <br /> Test Kits <br /> MISCELLANEOUS 4S C) r <br /> Supervision&Control <br /> [a" General Sanitation <br /> Algae <br /> Influent: Z <br /> 1 Time In: i Received B Inspected by: <br /> Effluent: ' <br /> Time Out: !� / / <br /> Pana 1 of <br />