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SAN JOAQUIN COUNTY <br /> EM.,iONMENTAL HEALTH DEPARTML INT <br /> "�.ilitt < �cct r <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3877 Web:www.sjgov.org/ehd 323- 30,06 <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1.Y-V'1 Ve r ZC.I Date: _,;z,-I'S <br /> Address: I 10 t AJ Fy,.e Yyt,o^+ -+ city: +o cle--f-p Y-1 Zip Code: 9 1j;1-6Z <br /> Owner/Operator: pt-+n'GK K W f LU--s. - Telephone: I c-(C4—/1 Ya <br /> Program Element: atp It I f2 Program Record: pp-05 -6 (02 009 //0 Inspection Type: R4 j'/yg •0I) <br /> Flow Rate(gpm): pH: Chlorine(ppm): I Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> sya � i-a � ) Poo <br /> 0.XC-&� Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> El Pumps A • Z 6� (a 1 C O-t{ <br /> ❑ Chlorinator <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ❑ Skimmer&Gutters <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 V`ZO4 <br /> ❑ Safety Signs LL4-e'--4 <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ 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 J <br /> pot? U <br /> Influent: I J <br /> '( �. Time In: ecei d By: Inspected by: <br /> Effluent: O <br /> Time Out: � ;�� /r�""""(�"✓� <br /> EHD 36=015-642 SWIMMING POOL OIR Page Of_ <br />