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e. SAN JOAQUIN COUNTY <br /> r` B RONMENTAL HEALTH DEPART NT <br /> a?� <br /> 1868 dust Hazelton Avenue, Stockton, CA 952uo-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: 11 \/trrj i RaWA. -kDate: /) - )?-I L/ <br /> Address: rrt.o r,+ City: -fon Zip Code: 520 <br /> Owner/Operator: T161W. r rLT 1 Telephone: cj9q—11(4 0 <br /> Program Element: L I Program Record: P-053(-o,2-09 Inspection Type: R-e'I y1-3 Fe-,P— 'on <br /> Flow Rate(gpm): pH: Chll?0ne(ppm). Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> $Pa 't (P 1.o Fc a.4 <br /> Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator t CO ham,&i Mi'-A CA,tort,rt e. is " • ly . Sko c 1( . <br /> ❑ Flowmeter <br /> ❑ Gauges ZV- up r Oq ppm <br /> - <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention K� <br /> E] Main Drain Cover K� N` k7. 4,c4if- w'e't Y" a, P <br /> ❑ Equalizer Line Cover e '.o V, <br /> CONSTRUCTION <br /> ❑ Pool Shell _ <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool-2 Main Drains <br /> SAFETYEQUIPMENT <br /> - <br /> ❑ Rescue Pole ,At ,, �1I <br /> ❑ Life Ring L r O �P t t!✓1n TTc 7 `f t c) 1 <br /> ❑ Safety Signs l/J ZY CrCj rt'�PJk <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth MarkersMies <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 <br /> Influent: <br /> Timeln: d By: Inspected by: <br /> Effluent: Time Out: - G)5 "✓Wru'7 <br /> EHD 36-015-6-12 SWIMMING POOL OIR Page I of <br />