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SAN JOAQUIN COUNTY `QL L( <br />4V'n L1 LJ / <br />_` ^�`"• ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />1,� ,� �Q Date: (t}- 12 —I 3 <br />Name of Facility VJ�JVJ C <br />Address: G1 'Z City: �rjl Zip Code: 9 S Z� <br />Owner/Operator. Telephone: TS -7-061 <br />Program Element:' ,2Program Record: `'�b0 S 5 Inspection Type: _ - - <br />Flow Rtn pH: Chlodne (ppm): Cyanurii Aci pm): Temp: I Q I Reinspection after: <br />PC cc <br />Fc3 1 cCDo <br />Other: <br />RECIRCULATION EQUIPMENT., <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />a <br />❑ Pumps <br />51 <br />❑ Chlorinator <br />❑ Flowmeter <br />C` <br />El Gauges Q <br />❑ Skimmer &Gutters S <br />❑ Back Flow Prevention -ewL\' <br />❑ Main Drain Cover <br />Q �. <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />3 n <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />n t <br />❑ Wade Pool - 2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />—e <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />b <br />❑ Pool/Deck Lighting 5 <br />E]Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROO_MS <br />S r <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />-2- <br />WATER QUALITY <br />❑ Chlorine <br />F-1 <br />3 <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />spm <br />Influent: 1 C <br />J <br />� <br />1 <br />Time In: 1�`'O <br />-1 <br />ReQM' <br />Inspected by: <br />K <br />Effluent: <br />Time Out: t'S <br />run ia_n+ F.A_1a SWIMMINr= Pnnl nIR Lj I ;n ^ . Page \ of <br />