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SAN JOAQUIN COUNTY <br />til <br />F '✓IRONMENTAL HEALTH DEPAF 4ENT <br />1860 East Hazelton Avenue, Stockton, CA 6oz05-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />�FO <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: rV-A <br />Date: <br />9- %✓/ <br />Address: 6 ri( <br />City: <br />Zip Code: <br />Owner/Operator: �q�,t1,,HVVW <br />Telephone: <br />Program Element: l� <br />Program Record: t7 �Llif <br />Inspection Type: <br />Flow Rate (gpm): <br />1 <br />pH: <br />/ ' <br />Chlorine <br />��Other: <br />0-q c <br />Cyanuric Acid (ppm): <br />30 <br />Temp: <br />) O <br />I <br />2 : Reinspection on or after: <br />J <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />I I n C,� <br />V K -V <br />X „J e }-n-. _ <br />vwwt, <br />K , iL _ <br />Cl'l.e�Y` <br />❑ Pumps <br />F (�(� <br />�¢ <br />, <br />If 4-uNl;✓1 . <br />❑ Chlorinator <br />❑ Flowmeter <br />H <br />F o K <br />V <br />❑ Gauges <br />' <br />❑ Skimmer & Gutters <br />ElBack Flow Prevention <br />(/e— <br />1-11 <br />❑ Main Drain Cover <br />, <br />❑ Equalizer Line Cover <br />CONSTRUCTION. ' <br />.�D L ) <br />❑ Pool Shell <br />❑ Fencing/Gates <br />dam <br />H <br />v <br />❑ Decking &Coping <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />-- <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ DepthMarkers/Tiles <br />❑ First Aid Kits , <br />❑ Emergency Shut-off Switch <br />RESTRO:OMS <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: I (� <br />Effluent: I <br />Time In: I1 I <br />Received By: <br />�I , _\ <br />I <br />pected by: <br />Time Out: r <br />EHD 36-015-8-12 SWIMMING POOL OIR Page <br />