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qq�,y SAN JOAQUIN COUNTY <br /> ENvIRONMENTAL HEALTH DEPARTIviLNT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 561k-N 1 - 6,-q <br /> Telephone:(209) 468-3420 Fax: (209)468-3877 Web:www.sjgov.org/ehd Pari I <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: t v1k-'-j A r1 r G r Date: &—Z&—( <br /> Address: .3, e_t2�0rngr' City: Zip Code: ?O <br /> Owner/Operator: '4XV0CK4-0er of- LLC- Telephone: q �_ (p <br /> Program Element: 1 2 Program Record: R 173' - a7 9 Inspection Type: �ZOU'I-j ri-P-, <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> 8-2GG <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> Filters t T _ p 4 <br /> [� Pumps J b c <br /> ®' Chlorinator hJ y <br /> Flowmeter <br /> [�} Gauges <br /> [y� Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> K} Main Drain Cover <br /> I- Equalizer Line Cover <br /> CONSTRUCTION -_ <br /> Pool Shell <br /> [� Fencing/Gates <br /> �J Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> Rescue Pole <br /> [�^ Life Ring <br /> [� Safety Signs <br /> ❑ Lifeguard <br /> [r,;,ol Pool/Deck Lighting <br /> Q� Ladders/Hand Rails <br /> 51n Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> Toilet&Dressing <br /> [g'Ventilation <br /> Chlorine <br /> pH <br /> Ga' Cyanuric Acid <br /> tl�^ Clarity <br /> [� Test Kits <br /> -MISCELLANEOUS <br /> [� <br /> Supervision&Control <br /> General Sanitation <br /> Algae <br /> Influent: 7 <br /> Time In: Received By: nspected by: <br /> Effluent: Time Out: 4- <br /> EHD <br /> 36-015-8-12 SWIMMING POOL OR Page—I—of <br />