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�s..+n. SAN JOAQUIN COUNTY <br /> Z EN\ JNMENTAL HEALTH DEPARTIV. T <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 468-3877 Web:www.sigov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: -TwN 5 0 (`t;-1 Date: -( S— <br /> Address: V2) . - City: Zip Code: <br /> Owner/Operator: Telephone: 23- 01,11-1 <br /> Program Element: t 2 Program Record: 2, Inspection Type: ��52.- _t n <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: 1 O� Reinspildtion on or after: <br /> c . C 0.-- °"ef <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters 5 - C <br /> ❑ Pumps <br /> ❑ Chlorinator ` S <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters C o Q 9� e 9 z, <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT <br /> _❑ Rescue Pole <br /> ❑ Life Ring c.—QQ <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails n <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits 2 <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS. <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> E Ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision& Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: Received By: Inspected by: <br /> Effluent: ,�p� k -+Y�Ilal("c�.5 <br /> Time Out: 3. n Y�/ <br /> EHD 36-015-8-12 SWIMMING POOL OF Page of' <br />