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ip <br /> SAN JOAQUIN COUNTY <br /> L 'IRONMENTAL HEALTH DEPAR ENT <br /> 1868 r-ast Hazelton Avenue, Stockton, CA 95?-05-6232 Telephone:(209)468-3420 Fax:(209) 468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: je" 'ot/-1 tj Date: <br /> Address: -�k'-?' ala(I e- L-,,\ City: c.: ' I'1 Zip Code: 0115�1-0 17 <br /> Owner/Operator. Y-1 of LLC- Telephone: q-5/)-1366 <br /> Program Element: 3to11 -t'-j_Program Record: - (O a-( - Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or.after: <br /> Other: <br /> 5 <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&SafetyCode Violations and must be corrected as indicated: <br /> ❑ Filters _ 6p <br /> ❑ Pumps r� <br /> ❑ Chlorinator t (p- + q),ot, I�-Z r <br /> ❑ Flowmeter Ze L_ r Y� � 15 C. 0.} <br /> ❑ Gauges t�K Tv <br /> ❑ Skimmer&Gutters V1-eY CA-e Gt <br /> ❑ Back Flow Prevention I U I " <br /> ❑ Main Drain Cover (i f c� <br /> ❑ Equalizer Line Cover © 6wr ka- yl <br /> CONSTRUCTION <br /> ❑ Pool Shell 'F& 5 CCI r — U ✓ C2 r <br /> ❑ Fencing/Gates M 2Ot5 <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENTV- CL <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs 5 yyl- <br /> �bo <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails6Y1- <br /> ❑ Depth Markers/riles 5 C0 Y y2 G( <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> "I WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Alga. 4a Aq <br /> Influent: — 1 '4, 1 <br /> �7, IL4 Timeln: R 'bei ed By: inspected by: <br /> Effluent: 3 3 Time Out: `�:5�j qlCkWlkft� <br /> EHD 36-015-8-12 SWIMMING POOL OIR Page I of <br />