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ip <br />, SAN JOAQUIN COUNTY <br />ENVIKONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Date: <br />Name of Facility: Njq�l Gf � a..,1 Tehh, - .� `i '6'/ <br />Address: , j S LjoL rCc� �tY Zip Code: <br />Owner/Operator: %L C) OL O �' Telephone: <br />II � <br />2—Program Program D - - Inspection Type: 1Q pt„l.Tj,.�s.,, <br />Program Element: 31,11 1 <br />Flow Rate (gpm): <br />(-'ool 'Z fTTi <br />SPA <br />H: '-7 Chlorine (ppm): <br />/ ' 4 ,O C .2, <br />1 94.0k .-2 <br />Cyanuric Acid (ppm): <br />rC>(::)1 <br />1 <3 <br />Temp: �� <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />Poo <br />❑ Pumps <br />`` -- <br />Tidy Rnctrr t rtGl� 1CUe1 / S --f 7� <br />❑ Chlorinator <br />❑ Flowmeter <br />! e lJ: �. P—ejtxC� C Q +O 4 „L �.�-- <br />❑ Gauges <br />Lt k"i /UCS <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />2 <br />❑ Main Drain Cover <br />r <br />T a re g -r— /,It 5'S /vt dr <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />C /C -/h S S'Tu% A'1e 1 <br />❑ Pool Shell <br />{ 0.c% 51-/ El <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />S �� <br />❑ Lifeguard <br />t� i5 Tv0 till <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Railsl— <br />❑ Depth Markers/Tiles <br />r O I—Q <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 />!i <br />❑ General Sanitation <br />El Algae <br />nnt <br />->p-,k--1 (-W f l —12: (t r -c -R $°4nc1 <br />vo( <br />Influent: P <br />tZrlgil$ <br />Effluent: l 2 /✓r f S <br />I` <br />— Z N� I -k <br />Time In: I(7 Z(S R <br />Time Out: 12.U(� <br />Inspec ed by:, <br />I I\�y9- <br />EHD 36-015-8.12 SWIMMING POOL OIR / ( Page _Of <br />