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SAN JOAQUIN COUNTY <br /> 3 EN ONMENTAL HEALTH DEPARTN AT <br /> w < <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax.(209)41 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: man rV v I j�A Date: CA101 14 <br /> Address: ?j City: I AO& Zip Code: q 5 242- <br /> Owner/Operator: <br /> ZOwner/Operator: Q on U iTATADM Telephone: `,aal ^q,4 12 <br /> Program Element: 2 Program Record: R o 0 192- Inspection Type: Re, <br /> Flow Rate( m): pH: Chlorine(ppm): Cyanuric Aciid�(lp1pm): Temp: ,/, /- Reinspection on or after: <br /> 4� !i- I�, too (/ V V Other: V 10 0 <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&SafetCode Violations and must be corrected as indicated: <br /> Filters <br /> Pumps rv n C <br /> (� Chlorinator 1 W� V 1 11Y/ ii�' 00 �. U WA <br /> Flowmeter <br /> Gauges <br /> Skimmer&Gutters �� S� ``Z) •�— 1 f t� tD G <br /> Back Flow Prevention tI�J ,(+ , a tom► Q <br /> Main Drain Cover -FK>YiVL 'TMpo� "��1 <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> Pool Shell a flU6uaWS lban U m- <br /> Fencing/Gates �(S� �S7 ah 1 Go mm. <br /> Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT 3 C �� V I <br /> Rescue Pole _ // s T' <br /> Life Ring �l`I C vt-- <br /> Safety Signs <br /> ❑ Lifeguard <br /> 0' Pool/Deck Lighting <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 /> ❑ <br /> Ventilation <br /> WATER QUALITY' <br /> �} Chlorine <br /> pH <br /> ❑� Cyanuric Acid ,^,�^ ll 11 QQ'' <br /> Clarity -Y u vaS Qf� 1 w . <br /> [� Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation QEM�vt <br /> ❑ Algae <br /> Influent: <br /> Timeln: Receiy d B <br /> Effluent: <br /> Time Out: <br /> EHD 36-015-9-12 SWIMMING POOLOIR Page 0i <br />