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Pa�In. SAN JOAQUIN COUNTY <br />E IRONMENTAL HEALTH DEPAR' ENT <br />1868 East Hazelton Avenue, Stockton, CA 95eO5-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: h 5*quku Date: !F :1-//(, <br />Address: IQ s y'( f,( City: Zip Code: <br />Owner/Operator: fM7p e t/( 8r -&r % Telephone: <br />Program Element: 170 I,[ j I Program Record: j p fS Inspection Type: 7T 6'1e <br />Flow Rate (gpm): <br />pH: <br />Chl''crtt{Ine (ppm): <br />Cyanuric Acid (ppm): <br />Temp: <br />Reinspection on or after: <br />Other: <br />. f ECIi CU,i 1 IflP1 EQUIP)AE 4T <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />&Pu�� 1 <br />AIW <br />L] Pumps <br />❑ Chlorinator <br />❑ Flowmeters <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <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 />- <br />❑ Safety Signs <br />❑ Lifeguard <br />Cl Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />-REST_ROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: 12 <br />/) <br />Effluent: 1 a <br />Time In: <br />/ <br />Reeeive B <br />inspected by: <br />EHD 36-015-6-12 SWIMMING POOL OR I Page _of <br />