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SAN JOAQUIN COUNTY <br />N, \ 11RONMENTAL HEALTH DEPAI 'ENT <br />1868 East Hazelton Avenue, Stockton, CA 9b205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sjgov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: vv U� Y uev-1 Date: 2 /0 <br />Address: S /C, f1 V O City: Zip Code: <br />Owner/Operator: IAMJn <br />W Telephone: <br />Program Element: Z Program Record:3 S� Inspection Type: 2(1iJ�V�fI., <br />Flow Rate (gpm): <br />pH: """ ��, <br />/ c� <br />/ 1 <br />Chlorine (prp'm): <br />O •0 1'�/s.a <br />G•ac� <br />Cyanuric Acid (ppm): <br />C/�b <br />/ <br />Temp: <br />Reinspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT - <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />❑ Pumps <br />,•,6o <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />r <br />Udkt !� d �✓ l 0 Y tG1 l <br />El Skimmer & Gutters <br />❑ Back Flow Prevention <br />Al ,161 <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />- CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />Of) KIS <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT - <br />VU <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emeraency Shut-off Switch <br />-RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <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: (�6 <br />Effluent: <br />Time In: I <br />Received B <br />IF) s ected by: <br />Time Out: II. <br />EHD 36-01 6-e-12 SWIMMING POOL OIR Page — of <br />