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SAN JOAQUIN COUNTY <br /> ,ate .o <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209) 468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: e h/' .!S G �-• Date: `�� Q - <br /> Address: City: Zip Code: ;2_0 <br /> Owner/Operator: 91- 6 4e-Ci Telephone: ct 7 —/ <br /> Program Element: Program Record: P/{ 0 3 b O/(03 Inspection Type: R c l k-f <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after. <br /> 5P0. <br /> Other: <br /> O•r-1 GG <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> El Pumps Cc Oo <br /> ❑ Chlorinator r f v( of y-,,u <br /> ❑ Flowmeter <br /> ❑ Gauges t -P- <br /> EI <br /> ❑ Skimmer&Gutters 13 <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover 5 4i m y- ccs mm . <br /> ❑ Equalizer Line Cover P r Ot.c r O 13--a-O <br /> CONSTRUCTION <br /> ❑ Pool Shell 'S S cy.' <br /> ❑ Fencing/Gates cu Gl h (d rt +o Y - c ct co <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains ✓1 r 9-0 t!�Or i 4u c,4 c3¢ a r-+rr-OrH <br /> SAFETY EQUIPMENT Y ,1_Q Y- ; <br /> ❑ Rescue Pale <br /> ❑ Life Ring <br /> ❑ Safety Signs uc*kj �_-smd_ju oo <br /> El Lifeguard <br /> ❑ Pool/Deck Lighting to -en <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits Cl <br /> ❑ Emergency Shut-off Switch <br /> REST ROOMS <br /> one, Cc r-re r,'{e <br /> 21 <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid L,6j '4e - Z <br /> ❑ Clarity <br /> ❑ Test Kits 2 , <br /> MISCELLANEOUS <br /> ❑ Supervision &Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Timeln: .•� 5 Re i e By: Inspected(lb yy': <br /> Effluent: Time Out: 4 <br /> qyn aa.n+q_aeo cwi"mmir_anni nip Page —of <br />