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oa4�IN. SAN JOAQUIN COUNTY <br /> y �Z� Er RONMENTAL HEALTH DEPART NT r� <br /> La s 1868 tdst Hazelton Avenue, Stockton, CA 952u5-6232 (� <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING, POOL OFFICIAL INSPECTION REP R <br /> Name of Facility: r at\, (2 -� u1- '-`, Date: —� <br /> Address: l�G>�.J City: ` Zip Code: <br /> Owner/Operator: t Telephone: <br /> Program Element: Program Record: �, jw Inspection Type: r(15 7 -'Y1 <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric A8–id(ppm): Temp: Reinsp tion on or after: <br /> ' . � (A > [�� Other: <br /> r <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indic d: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator 31-13 <br /> ❑ Flowmeter <br /> ❑ Gauges VA <br /> ❑ Skimmer&Gutters loo viom . <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover -7t4A 19 DD A <br /> ❑ Equalizer Line Cover o r <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates - VJP 19S s4 rA <br /> ❑ Decking&Coping r r ` <br /> El Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT r VVA <br /> ❑ Rescue Pole <br /> ❑ Life Ring / <br /> ❑ Safety Signs / V fly.-c - L o( &0CV+6n1 <br /> El Lifeguard <br /> [:1Pool/Deck Lighting Q ? L 3 5 <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch nRESTROOMS i-:Ueek . <br /> ❑ Showers S <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY � C� <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: Re e'v d By: I ect by: <br /> Effluent: <br /> Time Out: I <br /> EHD 36-01 5-8-12 SWIMMING POOL OR V qV Page kofj <br />