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pAklfl.•. SAN JOAQUIN COUNTY <br /> E 'IRONMENTAL HEALTH DEPAR- ENT <br /> 1868 cast Hazelton Avenue, Stockton, CA 95�05-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3877 Web:www.sigov.org/ehd 5p R+-�7 <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT 6 "'�' P"fl <br /> Name of Facility: I.• Date: -•16 -Jy <br /> Address: -AaL44 !Xi City: S -b Zip Code: q 5;LO r <br /> Owner/Operator: C4-1-ID ir, pt 6 (,t-C' Telephone: Q15/7-12 to <br /> Program Element: 31601a Program Record: P R a Inspection Type: OLA"Fl <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: RReeinsspectio�or after: <br /> DZ CG Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ♦� Filters U <br /> [' Pumps <br /> [K Chlorinator (A D <br /> Flowmeter <br /> Q/Gauges ext r a4r <br /> [� Skimmer&Gutters V Y'c YL®t Lop -o ri-Q-I-C <br /> ❑ Back Flow Prevention <br /> []� Main Drain Cover � n '� t <br /> Equalizer Line Cover Kt S C t <br /> CONSTRUCTION <br /> [.x Pool Shell <br /> Fencing/Gates <br /> ❑i' Decking& Coping <br /> ❑ Wade Pool-2 Main Drains LS YO <br /> SAFETY EQUIPMENT <br /> [3^ Rescue Pole 10 S <br /> [t]i' Life Ring _ <br /> [a^ Safety Signs <br /> ❑ Lifeguard <br /> ❑ 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 /> Ventilation <br /> WATER QUALITY <br /> B" Chlorine <br /> pH <br /> �- Cyanuric Acid <br /> [a^ Clarity <br /> E2' Test Kits <br /> MISCELLANEOUS <br /> B' Supervision& Control <br /> General Sanitation <br /> Algae <br /> Influent: <br /> Time In: d BInspected by: <br /> Effluent: Time Out:t Q;2c) a-i4iw�AA <br /> EHD 36-01 5-8-12 SWIMMING POOL OIR Page—Lot <br />