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Pq�, • SAN JOAQUIN COUNTY <br /> e` E. IRONMENTAL HEALTH DEPAR't ,.1ENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Fop Telephone:(209)468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING <br /> /MLPOOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: r "W Q4 Date: ;.,1 12VI <br /> Address: ?jtV (Al I f jn'l ity: ffvdZip Code: <br /> Owner/Operator: -(r Telephoner s <br /> Program Element: 9�(,(. L Program Record:Q 77&_0 7 Inspection Type: - - - <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other. <br /> RECIRCULATION EQUIPMENT The marked violations represent Healt &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters ho & C4 yl bp <br /> ❑ Pumps 1 _D <br /> v_ ('ey-o'i e H I <br /> ElChlorinator I— <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters Sd» t e (,f C 7 <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> CONSTRUCTION (J. �,n, e v <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates ✓ <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETY EQUIPMENT '670-& VW! y tJ /Qfjt(d- <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ PoollDeck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/riles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> ❑ Chlorine <br /> ❑ pH <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ <br /> Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: a <br /> Time In: r/ Received By: Inspected by: <br /> Effluent: Time Out: I r" Yr 1'4� <br /> EHD 36-01 5-8-12 SWIMMING POOL OR Page—of <br />