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P. Y.1 M... <br />.y <br />SAN JOAQUIN COUNTY <br />ENV -)NMENTAL HEALTH DEPARTMF`IT <br />1868 Ea., Hazelton Avenue, Stockton, CA 9520. ,232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: %N0Cj bn6ae <br />G, flgeln S <br />Date: I 4t <br />Address: 1cl 0 Ea Ct`lv,er-c- <br />Owner/Operator: Y_ -I <br />No City: <br />n <br />\'Nc by <br />Zip Code: Q 5 l_ rib <br />Telephone: 32 1 - 61112 - <br />2Program <br />Program Element: -,AP 2 Program Record: TF <br />Flow Rate (gpm): pH: Chlorine (ppm): <br />0. A� <br />Cyanuric Acid (ppm): <br />7 p Q <br />Inspection Type: <br />Temp: t o2 Reinspection on or after: <br />omen: l <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />.❑ Filters <br />fl' Pumps --- <br />f� Chlorinator <br />KQ.e Ci�l�'I LIC.i �4//'t�Jl <br />/'� j� <br />yS cx �- V <br />Flowmeter <br />jam, US+ <br />ivv <br />^1 <br />E� Gauges1 <br />Skimmer & Gutters <br />Back Flow PreventionQ <br />C .��U C <br />/ti <br />1 1 <br />Main Drain Cover <br />u�� <br />U ,�� <br />{ t_ <br />I' j <br />I1 <br />P <br />❑� Equalizer Line Cover <br />CONSTRUCTION <br />�] Pool Shell <br />�i U <br />U <br />fU •Z _ . t> <br />Fencing/Gates <br />Decking & Coping <br />Wade Pool - 2 Main Drains <br />Rescue Pole <br />r- x �h <br />1 Wee <br />Y"l. <br />[� Life Ring <br />Safety Signs <br />El Lifeguard <br />5 V ( <br />w r <br />ck <br />rn " ` a' ' <br />E� 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 />- <br />Er Cyanuric Acid <br />E' Clarity <br />- <br />Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: I � <br />Effluent: <br />Time In: Received BI <br />Time Out: O ` J <br />ecte <br />!, <br />EHD 36-015-8-12 SWIMMING POOL OIR �j Page of,� <br />