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op4�IN.• SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> y 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ••�4�•PORa`P Telephone:(209)468-3420 Fax: (209)468-3877 Web:WWW.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: � f if q Z 4--s <br /> --S Date: 4� -(�, - ( -2— <br /> Address: D r-- -4 4 City: ` j Zip Code: 94j-2_(3s <br /> Owner/Operator: /*0+1::�l R_(.•�er•_I-f.e5 Telephone: <br /> Program Element. 3CI Zrogram Record:- b3ee, Inspection Type: /�O k•� / <br /> Flow Rate(gpm): pH: Chlorine(ppm): yanuric Acid(ppm): Temp: Reinspection on or after: <br /> ("0,31 s <br /> • a C7 C.e � )00 Other: <br /> S nc"_ I I.S ��? c r_ G <br /> RECIRCULATION EQUIPMENT The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator r U o ,e CSG <br /> ❑ Flowmeter Tl p <br /> El Gauges 2001 (1 its flc)ClFrtAeict L'C�S <br /> ❑ Skimmer&Gutters w8— 4�cti "'k 4-�� / <br /> ❑ Back Flow Prevention - rr <br /> ❑ Main Drain CoveraZ �'� ✓t F CL C( d 1 S o ✓' 'l rtd 1� <br /> ❑ Equalizer Line Cover 5 u"_a0f-- tC3C-)PPVn <br /> CONSTRUCTION <br /> ❑ Pool Shell ej <br /> ❑ Fencing/Gates tA�0_ }w fie., I _ I Pp" <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole ,r <br /> ❑ Life Ring <br /> ❑ Safety Signs JU ii P I :C (',r, <br /> ❑ Lifeguard 1 <br /> [IPool/Deck Lighting ree,A C <br /> ❑ Ladders/Hand Rails 7 - Gtr ��� C3 <br /> El Depth Markers/Tiles b <br /> ❑ First Aid Kits UW �� l ' CSL <br /> ❑ Emergency Shut-off Switch L1 ka f�( le5 /T 7— �- <br /> RESTROOMS (� �^ <br /> El Showers •I t� vrL _s Ci ��Ct^'' `-0 1^� <br /> ❑ Toilet&Dressing S <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH c�� ckcc �kr� <br /> ❑ Cyanuric Acid �aOl U� r J t1 eJ i c� 4�f C1�S <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS 1rLl r �2CC'h �t� `q-0— <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> 5p`t ! Time In: Received By: Inspe�cted by: <br /> Effluent: � � ,'(�� . <br /> Poo` - (� ' <br /> S FG - Time Out: r 2 ! � � `�� ( <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page_of <br />