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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMEIY i <br />ip <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: A7✓ L �'h*Av, Date: V11,t <br />Address: q' L e,�(,0— City: _ ' Zip Code: <br />Owner/Operator: Telephone: 3 <br />Program Element: 1/ Program Rec d: 0 0 7j Z Inspection Type: <br />Flow Rate (gpm): <br />pH: <br />Chlorine (ppm y C <br />V C�j! <br />Cyanuric A-/ciid (ppm): <br />� / / <br />y& <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />a marked violations represent HealthSafety Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />❑ Chlorinator <br />I /AiI� /� �h_ �! nl• <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <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 />❑ Lifeguard <br />_ <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ 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 />❑ Clarity <br />Ndi C d S/ n dlahlm rl ki AnW <br />❑ Test Kits <br />slyn w/fh -*a1 nk?w g1X'rj✓ 90( /✓ra�irr <br />.-....' MISCELLANEOUS <br />❑ Supervision & Control <br />Qy �> <br />❑ General Snia <br />❑ Algae <br />/ 1i QC G l)'K!f B—fT�%%,,Wi � , OAPV6� �O , <br />Influent: I <br />EEffluent:1� <br />'�{✓ !4gjg��jd I rl� '�'( /� ��✓� CVi� <br />Time in: <br />�, <br />vad B <br />c )W <br />Inspected by: <br />S' <br />Time Out: t <br />EHD 3a-015-8-12 SWIMMING POOL OIR Page of <br />