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aag.:n SAN JOAQUIN COUNTY M <br />a ENvIRONMENTAL HEALTH DEPARTN.—,4T c,7 u <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 />Name of Facility: d <br />�-'�C..7 <br />Date: <br />Address: kC{ O SZ <br />City: <br />Zip Code: a 2 <br />Owner/Operator: Ck <br />f v <br />Telephone: <br />Program Element: 3btt Sb12_ Program Record: ?� <br />Q. S–+ 3b0 Inspection Type: -- <br />Flow Rate (gpm): <br />—S] <br />pH: <br />G __ . Q <br />�--I <br />Chlorine (ppm): <br />O.2 1. to <br />iso — <br />Cyanuric Acid (ppm): <br />5 <br />> t <br />Temp: 1 �� <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health &Safe Code Violations and must be corrected as indicated: <br />❑ Filters <br />S <br />❑ PUMPS <br />❑ ChlorinatorLx <br />❑ Flowmeter <br />❑ Gauges <br />Q <br />Ct <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />l e <br />FA <br />o 5 <br />\ S <br />❑ Equalizer Line Cover <br />CONSTRUCTION - <br />C <br />Q <br />t <br />❑ Pool Shell <br />❑ Fencing/Gates <br />n <br />❑ Decking & Coping <br />C �J' <br />t cn ie In t <br />El Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />C <br />❑ Life Ring <br />❑ Safety Signs <br />3 <br />\ <br />S c . 10- <br />❑ Lifeguard <br />2 2 <br />�(e G��[ <br />EIPool/Deck Lighting <br />❑ Ladders/Hand Rails <br />y <br />o <br />❑ Depth MarkersTles <br />P <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS '- <br />❑ Showers <br />\ <br />�2.r2.Q <br />❑ Toilet & Dressing <br />❑ Ventilation <br />` gl�Q'j-\ Gk. <br />WATER QUALITY <br />❑ Chlorine <br />e <br />r . l25 <br />❑ pH <br />- <br />�_ h <br />❑ Cyanuric Acid <br />❑ Clarity <br />�' Z <br />,' <br />❑ Test Kits <br />p.n-� fY�.•� S - <br />MISCELLANEOUS <br />❑ Supervision & Control <br />G' <br />r�+^ <br />I ek <br />❑ General Sanitation <br />❑ Algae <br />S <br />Influent: <br />Time In: \�\ <br />R e c e i vili <br />' <br />Inspected by: <br />� - rl \Gti1, <br />Effluent:! <br />,Cr G <br />Time Out: \�LS <br />EHO36-015-8-12SWIMMINGPOOL OIR 5,,5.1ed 6_3 '; \+H � e-1 � <br />Page — of <br />