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�.In. SAN JOAQUIN COUNTY <br /> ENV )NMENTAL HEALTH DEPARTM- T <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-ti232 <br /> �o <br /> Telephone:(209)468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd cu-�dpar <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT �oo� <br /> Name of Facility: I ItA PfwS pfl h L u Date: _3_/ `I <br /> Address: '000 (nS City: j Zip Code: '!)q_4Q <br /> Owner/Operator: Y _M_j Nu u Telephone: '67q —E4 t 0 <br /> Program Element: ?)6 11 Program Record: p- G -J Q 2Oq Inspection Type: (UZ <br /> Flow Rate gpm): pH: —t Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> (OC ! , 4 5.0 fu /_ Other: <br /> lb L t/ <br /> -RECIRCULATION EQUIPMENT The marked violations represent Health&SafetCode Violations and must be corrected as indicated: <br /> ❑ Filters C I``A � LD�R� - <br /> ❑ Pumps o �U <br /> ❑ Chlorinator <br /> ❑ Flowmeter �wl�In W /1 ,p S L.. oil Sh I rnT5 - <br /> ❑ Gauges ((.1UJLG Y/tl— � �1 t' <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention 2 CN WG G LemT❑ Main Drain Cover <br /> ❑ Equalizer Line Cover Vq1CM OF 1yQ vodIkvcLA '(1 <br /> CONSTRUCTION <br /> Pool Shell <br /> [� Fencing/Gates P SOV' 2 <br /> [� Decking& Coping <br /> Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> [� Rescue Pole <br /> [� Life Ring r G 1 1 <br /> Safety Signs <br /> ❑ Lifeguard <br /> ❑ <br /> PooVDeck Lighting 1 '� 1 S�� I U r �OU #10TIO VI' <br /> Q/ Ladders/Hand Rails 1 00 - W Q� Y , <br /> [a Depth Markers/Tiles �I <br /> ❑ First Aid Kits <br /> Emergency Shut-off Switch <br /> In <br /> C9' Showers NN 1-1 <br /> [� Toilet& Dressing <br /> Ventilation U\t rQSS <br /> WATER QUALITY <br /> [g Chlorine <br /> pH <br /> [} Cyanuric Acid <br /> Clarity <br /> Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision & Control <br /> ❑ General Sanitation }� y <br /> ❑ Algae 1, 1 7 crf <br /> Influent: <br /> Time In: q ;2J(} Re ived By: I s cted b <br /> Effluent: Time Out: to -oo <br /> EHD 36-015-8-12 SWIMMING POOL OIR Page of <br />