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oFa��N. SAN .JOAQUIN COUNTY <br /> E, __�ONMENTAL HEALTH DEPART 'AT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd <br /> (/FORM <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT - -� <br /> Name of Facility: C,0 ILQ YIA 72-ADate: <br /> Address: 2 <j � r City: _+y r1 Zip Code: 95 <br /> Owner/Operator: C • T4 t .t I Telephone: 61 15 __ 2130 <br /> Program Element: 36 t j Program Record: (�?j�;� jun Inspection Type: R-4 <br /> Flow R to(gprp): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> PP ` 1 (� Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator i C� q n �' }� Y`+✓ yt.�. AA p Y K4 r'i <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover 0 <br /> ❑ Equalizer Line Cover S COO—) YY_eA <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> El Lifeguard V O �l 6)1--s <br /> ❑ Pool/Deck Lighting r r A-r <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: C Rece"v d By- Inspected by: /I <br /> Effluent: Time Out: <br /> ►i a5 <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page I of f <br />