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PaeIN. SAN JOAQUIN COUNTY <br />ENVI NMENTAL HEALTH DEPARTME <br />1868 East Hazelton Avenue, Stockton, CA 9520556232 <br />ra <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: `/r, G / ) i '/ : ,/%..t-' {% Date: �' �d - <br />Address: D -� ( City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Rec(• . Inspection Type: j <br />Flow Rate�(gpm): <br />/J <br />-pH: <br />- <br />CF�IgrinVpp <br />C7 L o r <br />Cyanuriic Ackj, ppm : <br />G / 111"`fn )l <br />(&/ <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 />❑Flters <br />❑ Pumps <br />❑ Chlorinator <br />❑ Flowmeter <br />S (�- Y1 lV <br />A <br />l- <br />❑ Gauges <br />404 <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />,l J L <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing Gates <br />. J �7°Z <br />ivy'd <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />�l1GrrN? VL �' L t I <br />❑ Life Ring <br />❑ Safety Signs <br />+ �` <br />❑ Lifeguard <br />��� <br />( ' C7 t <br />E]Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />1) <br />O tntrua <br />❑ Depth Markers/Tiles <br />p <br />❑ First Aid Kits <br />❑ EmergencyShut-off Switch <br />WW ! v✓t 41 <br />RESTROOL <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 />�� (�(���/ �� a l i(o rx� <br />�% <br />Influent: / <br />Effluent: <br />�,/ 1('�. y'Y� �rC�� G eq( (CF:L' 19 0 <br />Time In: '/ ece v td, ;yq s(�n�n�ll� 1 <br />Time Out: �T �V '.'lY "'..l \ <br />I sPected by: <br />5* ii7i" L-- <br />EHD 36-015-6-12 SWIMMING POOL OIR 1 —AV I Page _of_ <br />-L .. <br />