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SAN JOAQUIN COUNTY <br />EN` ONMENTAL HEALTH DEPARTA JT <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 />Name of Facility: - vg Cv,vtM01 -IdRDate: Cl 2 j <br />Address: 1142 <br />trCity: Zip Code: 4q52 40 <br />Owner/Operator: ("ClffX4WfTelephone: 2 — 51,5 <br />Program Element: '�I j2 P gram Record: R03(pC) 253 Inspection Type: na <br />Flow Rate (gpm):ll <br />l <br />pH: <br />--V <br />- L <br />Chlorine (ppm):, <br />61 <br />� ' "� � <br />CyanuricAcid`(ppm): <br />700 V <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EOUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑_Filters <br />❑ Pumps <br />cad <br />6�� <br />nnc/ <br />�.-,` <br />T��u� l U SCSAfim 1QU <br />Chlorinator <br />Flowmeter <br />Gauges <br />1 <br />spa S I _ lace. <br />Skimmer & Gutters <br />Back Flow Prevention <br />Q S oc S <br />Main Drain Cover <br />2 <br />3 Vit �l e% <br />❑ Equalizer Line Cover <br />Em <br />8 Pool Shell <br />Fencing/Gates <br />B Decking & Coping <br />Wade Pool — 2 Main Drains <br />Rescue Pole <br />Lffe Ring <br />Safety Signs <br />❑ Lifeguard <br />Pool/Deck Lighting <br />Ladders/Hand Rails <br />g 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 />Er Clarity <br />Test Kits <br />MISCELLANEOUS <br />QSupervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: ( <br />Effluent: <br />�t <br />� ' 460 ` 341G <br />Time In: 1-c <br />Time Out: '�Jl"Gj <br />Race iy'e <br />pecte b <br />EHD 36-01 5-8-12 SWIMMING POOL OF v Page _L of _f__ <br />