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SAN JOAQUIN COUNTY �qrociup <br />ENV' )NMENTAL HEALTH DEPARTMF"'T MO(L( ; 37- -C1412 <br />1868 Easy Hazelton Avenue, Stockton, CA 9520:. 132 <br />;Fo N Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: wwwsjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT NI : 3� 1 -L 13 <br />Name of Facility: NA806 IE70 G �(e P Ij <br />Date: <br />g -o I <br />Address: <br />652- t_, <br />` �C <br />.gSS Nn City: <br />Zip Code: <br />Ct <br />Owner/Operator: 1 1 ( <br />0 n <br />r) <br />Telephone: <br />? 2-1 _ 56U <br />Program Element: IT Program Record: Q ?j <br />5-- <br />Inspection Type: <br />Flow Raattp-(gpm): <br />'I! i_C)-1,,,, <br />pH: <br />Chlorine(ppm): <br />i1,,1� <br />Cyanuric Acid (ppm): <br />�� <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & SafetyCode Violations and must be corrected as indicated: <br />Filters <br />r <br />Guttersreventionover <br />i <br />Atip w <br />( <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />l <br />lgaqed <br />Ciro1 <br />0 Pool Shell <br />❑ Fencing/Gates <br />Decking & Coping <br />❑ Wade Pool — 2 Main Drains <br />Il�1L <br />lan' <br />� <br />lJl t Ce <br />'-: SAFETY'EQUIPMENT- <br />J� Rescue Pole <br />I� <br />o4e <br />0' Life Ring <br />Safety Signs <br />❑ Lifeguard <br />Lg,' 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 />-- <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 />Influent: I <br />,I <br />Effluent: c} <br />� I <br />2�Q b — 3`Ta <br />Time In: q:2v <br />Received / <br />I s cte <br />Time Out: joIQte, <br />v <br />EHD 36-015-e-12 SWIMMING POOL OIR Page of_ <br />