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SAN JOAQUIN COUNTY <br />' ENVIRONMENTAL HEALTH DEPARTIV,,:NT <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 />Nameof Facility: d✓ ..e <br />Date: LJyJ�. <br />Address: C y City: L Pa / Zip Code: <br />Owner/Operator. � Telephone: <br />Program Element: 2j& <br />I/ Program Record: Inspection Type: / / n <br />Flow Ra�ttee(gpm): <br />`S Iti VlL <br />pH: <br />` q <br />Chlorine (ppm)_ <br />G D Cc <br />Cyaannuuriicc�Acid (ppm): <br />S] v <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetCode Violations and must be corrected as indicated: <br />❑ Filters <br />L 4rpt' <br />❑ Pumps <br />_^ <br />If / K �✓ Gt 7 �� n l L`. <br />❑ Chlorinator <br />❑ Flowmeter <br />N 14 <br />❑ Gauges <br />0 e P- 47 k <br />❑ Skimmer <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />, <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />STI <br />wttiv /j ,l/ wo & D ✓oloW , <br />f/1` ✓1 l�`'� <br />lhell <br />❑ Pool Shell <br />�j/( %hG{il(/Yv QNp <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />I�y� <br />r(i <br />C I ohL ^ <br />�� <br />❑ Wade Pool -2 Main Drains <br />I /�.i %i✓I�" r�_� `y y� (��, �I,Qd <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />oL <br />❑ Life Ring <br />❑ Safety Signs <br />N� <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />r -,MISCELLANEOUS_ ` <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: of <br />Effluent: r'1 <br />V <br />OA <br />Time In: 3 �Z <br />R ived By: <br />Inspected by: <br />S _ �� <br />Time Out: <br />EHD 36-01 5-8-12 SWIMMING POOL OR Page ofL <br />