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SAN JOAQUIN COUNTY <br /> �:•tet_so <br /> ENVIRONMENTAL HEALTH DEPARTiviENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> q ' P <br /> Telephone: 209 468-3420 Fax: 209 468-3877 Web:www.s ov.or /ehd <br /> /FORA p ) ) 19 9 <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility. �. Y5• Of (krf�r,-► 04 Date: <br /> Address: City: CSC ICA7 Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: �� 2 �Inspection Type: a rj j7 <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> 0 ��-- Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health& Safety Code Violations and must be corrected as indicated: <br /> FiltersC5 1 ': <br /> [v] Pumps 0Q <br /> it 1( <br /> Chlorinator jyl j Gari i a r?'L� <br /> [� Flowmeter �. <br /> Gauges t Yl • Y r�^ W off.: <br /> 2r Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> a v CU�t�r��I� •-�-,,�-�.�J•vrz ^ "� •-'� -� -� � �c c,l� ,J—rt`r,n;� <br /> Main Drain Cover L; <br /> Equalizer Line Cover 1 .I� U; _ ,p <br /> CONSTRUCTION j <br /> Fee r Pool Shell <br /> ©' Fencing/Gates (' �-; P� v ��P'�, I.�i�, ,�..� i ��� ., >^,. j�O r' <br /> [} Decking&Coping <br /> ❑ Wade Pool—2 Main Drains `('n •�" ��'^ 0-"4 0' 1 <br /> SAFETY EQUIPMENT <br /> [a Rescue Pole <br /> �! Life Ring <br /> [' Safety Signs <br /> Lifeguard <br /> ❑ Pool/Deck Lighting <br /> [� Ladders/Hand Rails <br /> Depth MarkersfTiles <br /> ❑ First Aid Kits Gl L----) C Guj CJ <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> [� Showers <br /> o- Toilet&Dressing <br /> [�— Ventilation <br /> WATER QUALITY <br /> [v] Chlorine <br /> pH <br /> Cyanuric Acid <br /> Er Clarity <br /> Lg' Test Kits <br /> MISCELLANEOUS <br /> [a' Supervision &Control <br /> ® General Sanitation <br /> [a' Algae �F h v✓ter-� Cis ' inn ' e G 2y�/:� <br /> Influent: 19_1 41`$ /Ga Ytr r G� t✓��—� C��U�yC <br /> Time In: Received By: Innssp�e�c� �edby: <br /> Effluent: f �� <br /> Time Out: <br /> i <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page of! <br />